Loading...
NPI 1174718134 · Granada Hills, CA · Internal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Richard Park is a internal medicine physician provider located in Granada Hills, California. This profile covers 70 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Richard Park |
| Address | 10515 Balboa Blvd Ste 325 |
| City | Granada Hills |
| State | CA |
| ZIP | 91344 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | September 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $31.7M |
| Medicaid | $0 |
This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is listed at $31.7M while Medicaid revenue is $0, indicating no Medicaid billing on file and a payer mix concentrated entirely in Medicare. That concentration will shape contracting and risk exposure discussions because all measurable claims activity is driven by Medicare fee-for-service reimbursement.
Revenue is highly concentrated in three add-on / supply codes: the top three Medicare codes (Q4262, Q4188, Q4281) account for 73.9% of this provider's total Medicare revenue. Those codes together generate $10.2M for Q4262, $8.1M for Q4188, and $4.8M for Q4281, indicating the practice’s financial profile is dominated by per-square-centimeter skin-substitute or implantable supply billing.
The code mix points to a wound-care and device-driven service line model: Q4262, Q4188, Q4281 are all per-square-centimeter add-on codes for membranes/skin substitutes and are the primary revenue drivers, and 11042 (debridement) appears among high-volume codes as well. Together these entries suggest the operation centers on wound management and procedural dressing/skin substitute applications rather than being limited to routine primary care visits.
Competitive standing is extreme for several items: Q4188 ranks #1 of 47 providers nationally and is labeled an "extreme outlier, far above typical national volume," showing national-level dominance for that specific supply code. Similarly, 11042 ranks #1 of 10712 providers nationally (also labeled an "extreme outlier") and multiple diagnostic and home-visit codes (for example 99348 and 99342) are at or near top ranks, signifying unusually high volumes relative to peers across several service categories.
Beyond supply-driven codes, the provider shows very high volumes in ancillary diagnostic and home-visit E/M services: notable extreme outlier ranks include 99348 (#1 of 11547) and 99342 (rank #2 of 2463), plus multiple vascular and ultrasound codes (e.g., 93975, 76881, 93925) with high national percentiles. This combination suggests the practice bundles device/supply applications with on-site diagnostics and significant home-based evaluation services, creating a vertically integrated procedure and follow-up footprint.
The statistical labels attached to many codes emphasize that the provider’s pattern is atypical but not numerically characterized in this report: multiple entries are described as "extreme outlier, far above typical national volume," while others are "typical, unremarkable" or "notably above typical." Analysts should interpret these as strong deviations from median peer behavior for several specific codes rather than as general commentary on all services.
Tenure supports sustained operations: the NPI was enumerated 2007-09-12 (~19 years ago), indicating long-standing enrollment in Medicare which can contextualize the development of this high-volume code mix over time. Long tenure combined with extreme outlier rankings for multiple codes points to an established operational model rather than a short-term spike.
For payers and competitors, the combination of concentrated revenue in a few Q-codes and repeated top national ranks signals a specialized, high-volume supplier role in wound/supply-related care and associated diagnostics; this profile makes the provider a potentially important counterparty for managed Medicare arrangements focused on wound care and home-based services. Given the $0 Medicaid footprint, however, commercial and Medicaid network strategies cannot rely on demonstrated Medicaid activity with this entity and should be negotiated with that single-payer reality in mind.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
70 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 9,780 | $1,050 | $10.2M |
| Q4188 | Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) | 10,820 | $740 | $8.1M |
| Q4281 | Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) | 3,960 | $1,220 | $4.8M |
| Q4236 | Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) | 4,910 | $910 | $4.5M |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 9,560 | $110 | $1.1M |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 10,560 | $60 | $665.1K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 1,060 | $240 | $254.6K |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 1,550 | $130 | $205.8K |
| 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… | 2,640 | $70 | $192.7K |
| 76881 | In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is… | 2,730 | $50 | $128.2K |
Showing 1–10 of 70
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
70 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4236 | 7 | 20 | 3,950 | $960 | $6.2M |
| Q4262 | 1 | 10 | 2,370 | $1,030 | $3.8M |
| Q4281 | 2 | 20 | 940 | $1,210 | $1.9M |
| Q4188 | 1 | 30 | 1,120 | $750 | $1.1M |
| G0181 | 44 | 380 | 60 | $90 | $42.9K |
| 99350 | 150 | 550 | 80 | $140 | $38.8K |
| 93306 | 1,052 | 2,400 | 240 | $110 | $34.1K |
| 99349 | 750 | 870 | 110 | $90 | $31.7K |
| 93886 | 15 | 110 | 90 | $210 | $31.2K |
| 95957 | 9 | 50 | 70 | $230 | $27.5K |
Showing 1–10 of 70
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 11,848 | 14,520 | 760 | $10 | $122.8K |
Other providers in the same ZIP code as Richard Park, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Los Angeles County Department Of Mental Health | CA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $78.6M |
| James Michail | CA | Geriatric Medicine (Family Medicine) Physician | $20.4M | $86.8K |
| Jacob Offenberger | CA | Allergy & Immunology Physician | $360.6K | $1.5M |
| Sharis Karapetian | CA | Optometrist | $556K | $0 |
| Evelyn Jankowski | CA | Dermatology Physician | $439.5K | $0 |
| Carla Kazimir | CA | Physical Therapist | $157.4K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.