Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Richard Paris (NPI 1174523112)

Field	Value
Entity Type	Individual
Organization	Richard Paris
Address	1 Diamond Hill Road
City	Berkeley Hts
State	NJ
ZIP	07922
Taxonomy	Family Medicine Physician
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicare	$46.5K
Medicaid	$0

Key Findings

This provider’s billed Medicare activity is small in absolute scale: total Medicare revenue is $46.5K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the observed dataset. The absence of any Medicaid claims means comparisons or conclusions about state Medicaid participation cannot be made from these records.

Revenue is heavily concentrated in a very small set of services: the precomputed top three Medicare codes account for 80.1% of the provider’s Medicare revenue, led by 99214 ($20.7K, 44.5% of Medicare revenue) and G0439 ($14.9K, 32.1%). The third top code, 90662, contributes $1.6K (3.4%). This concentration indicates most dollars flow from evaluation/management and wellness-visit activity rather than a broad mix of procedures.

The code mix points to a typical primary care/family medicine practice focused on established-patient visits and prevention: 99214 (moderate-complexity established visits) and G0439 (annual wellness visits) together make up the majority of revenue, and routine immunizations (90662, G0008, G0009) and common lab panels (80053, 80061, 84443, 85025, 83036) appear as smaller revenue contributors. These codes suggest the practice’s operating model centers on office-based chronic care and preventive services rather than procedure- or procedure-suite-driven revenue.

Competitive standing on the top E/M and wellness codes is modest: 99214 ranks #141512 of 479517 nationally (70th percentile) and is labeled a "typical, unremarkable volume" result, and G0439 ranks #31241 of 105855 (70th percentile) also described as "typical, unremarkable volume." By contrast, the flu vaccine entry 90662 ranks #52329 of 70752 (24th percentile), indicating comparatively lower national vaccine billing activity. These percentile placements characterize the provider as a routine participant in common primary-care billing lines rather than a dominant national outlier.

There are a few internally notable distribution patterns across lower-revenue codes: 36415 (venipuncture) shows higher utilization with 161 claims generating $1.3K (2.8% of Medicare revenue) and ranks in the 65th percentile, while 99213 (lower-complexity established visit) is relatively underrepresented with 17 claims and $1.3K (2.7% of Medicare revenue) and ranks in the 8th percentile. This pattern — higher relative use of 99214 versus 99213 — may reflect coding or visit-complexity mix skewed toward moderate-complexity visits in the Medicare population.

The ancillary lab and preventive items each contribute only small shares of revenue: multiple lab panels and tests (for example 84443, 80053, 80061, 85025, 83036) individually range from about $387 to $1.2K and each represents roughly 0.8%–2.6% of Medicare revenue. Together these items support the primary-care profile but do not meaningfully diversify the provider’s revenue base away from the two dominant codes.

The provider has long tenure in the credentialing system: the NPI was enumerated on 2005-07-29 (~21 years ago), indicating an established billing history. Given the concentrated Medicare revenue mix and no Medicaid presence, the practice’s financial exposure is sensitive to changes in Medicare E/M and AWV policies and could warrant exploring payer diversification if growth or risk mitigation is an objective.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	220	$100	$20.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$140	$14.9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$70	$1.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	160	$10	$1.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$80	$1.3K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	80	$20	$1.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	120	$10	$1.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	90	$10	$1.1K
G0008	Administration of influenza virus vaccine	30	$30	$1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	100	$10	$670

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Richard Paris — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84443	1	380	100	$20	$65.5K
80061	1	370	130	$10	$65.4K
80053	1	560	90	$10	$50.8K
83036	1	510	50	$10	$26.6K
85025	2	750	120	$10	$24.2K
99214	4	13,640	130	$90	$23.6K
G0103	1	80	30	$20	$20.3K
99213	10	14,090	100	$70	$13.1K
82043	1	200	60	$10	$11.9K
G0439	2	3,370	70	$120	$11.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Richard Paris, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Mccormick	NJ	Diagnostic Radiology Physician	$1.5M	$0
Michael Wax	NJ	Hematology & Oncology Physician	$1.5M	$0
Hari Nadiminti	NJ	Dermatology Physician	$1.3M	$0
Summit Medical Group PA	NJ	Ambulatory Surgical Clinic/Center	$1.1M	$4.9K
Lisa Mills	NJ	Medical Oncology Physician	$911.8K	$0
Jennifer Reeder	NJ	Hematology & Oncology Physician	$816.7K	$0
Eric Mirsky	NJ	Orthopaedic Surgery Physician	$700.6K	$0
Lalitha Anand	NJ	Hematology & Oncology Physician	$658.6K	$0
Molly Gabel	NJ	Radiation Oncology Physician	$597.4K	$0
Vinnie Shah	NJ	Ophthalmology Physician	$542.3K	$0

Richard Paris — Billing Profile & Reimbursement Data

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Richard Paris — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References