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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Richmond
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    Kenneth Richmond — Billing Profile & Reimbursement Data

    NPI 1184891277 · Holyoke, MA · Psychiatry Physician

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    Kenneth Richmond is a psychiatry physician provider located in Holyoke, Massachusetts. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenneth Richmond
    Address1233 Main St
    CityHolyoke
    StateMA
    ZIP01040
    TaxonomyPsychiatry Physician
    NPI EnumeratedMay 8, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$43.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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$80$17.7K
    99213The 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…200$60$11.2K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…100$80$7.6K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…80$50$3.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.7K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…10$120$1.3K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.70$10$740
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.50$1$160

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,39015,410110$80$15.6K
    9083492830180$60$14.7K
    992324,4805,40070$60$9.3K
    992133,09513,70070$60$8.8K
    90833124390100$50$7.2K
    9079231636020$130$5K
    9078582060$10$1.2K
    961279119030$1$180

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kenneth Richmond, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tidewater Physicians Multispecialty Group PCVAFamily Medicine Physician$0$5.9M
    Kristi MizelleVARheumatology Physician$1.5M$0
    Ivan Marchena- MendezPARheumatology Physician$1M$0
    Michael GenVAInterventional Cardiology Physician$705.1K$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0
    Pranav ParikhVAInternal Medicine Physician$579K$0
    Jeffrey VandesandVADiagnostic Radiology Physician$550.4K$0
    Matthew DohertyVADiagnostic Ultrasound Physician$540.2K$0
    Stephen CummingsVAOrthopaedic Surgery Physician$493.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$249.7M
    Holyoke Medical Center, Inc.MAGeneral Acute Care Hospital$0$125.1M
    Total Wellness Centers, LLCMAClinical Medical Laboratory$1.9M$77.2M
    River Valley Counseling Center, IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$64.7M
    Holyoke Health Center Inc.MACommunity Health Clinic/Center$0$59.3M
    Access Care Partners Inc.MAVoluntary or Charitable Agency$0$38.9M
    Access Care Partners Inc.MAVoluntary or Charitable Agency$0$34.2M
    New England Family Dentistry, PCMAPoint of Service$0$12.7M
    Holyoke Capital Jv, LLCMAPsychiatric Hospital$645.1K$11.5M
    The Mercy Hospital IncMAPsychiatric Hospital$0$11M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Kenneth Richmond — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts