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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Phinney (NPI 1215192703)

Field	Value
Entity Type	Individual
Organization	Richard Phinney
Address	4126 N Holland Sylvania Rd Ste 105
City	Toledo
State	OH
ZIP	43623
Taxonomy	Medical Oncology Physician
NPI Enumerated	July 23, 2008

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	11,200	$30	$369.6K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	9,180	$40	$339.7K
J0897	Injection, denosumab, 1 mg	8,880	$20	$159.8K
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…	690	$90	$63.2K
J1439	Injection, ferric carboxymaltose, 1 mg	50,250	$1	$50.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	400	$90	$37K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	2,600	$10	$15.6K
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…	240	$60	$14.5K
G0498	Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…	70	$130	$9.3K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	70	$130	$9.2K

Showing 1–10 of 45

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Richard Phinney — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	24	40	12,100	$40	$603K
J9144	3	10	10,260	$40	$380.5K
J0897	23	230	2,880	$20	$79.5K
J1439	5	20	20,250	$1	$27.4K
J9217	90	100	120	$130	$22.3K
96413	26	210	130	$90	$16.8K
J0885	5	20	2,320	$10	$15.3K
99214	459	20,010	100	$70	$11.7K
J0185	9	20	5,980	$1	$9K
G0498	7	20	70	$130	$8.7K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Toledo Physicians LLC	OH	Internal Medicine Physician	$0	$17.8M
Toledo Clinic Incorporated	OH	Surgery Physician	$0	$15.9M
Toledo Clinic Incorporated	OH	Clinical Medical Laboratory	$2.1M	$2M
Toledo Clinic Incorporated	OH	Clinic/Center	$2.4M	$812.9K
Timothy Kasunic	OH	Hematology & Oncology Physician	$2M	$0
David Kouba	OH	Dermatology Physician	$1.9M	$0
Niraj Shah	OH	Ophthalmology Physician	$1.3M	$0
Shaili Desai	OH	Hematology & Oncology Physician	$1.2M	$0
Mohammed Abusamieh	OH	Rheumatology Physician	$1.1M	$0
George Youssef	OH	Interventional Cardiology Physician	$986.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Recovery Center LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$45.6M
Choices Behavioral Health Care	OH	Community/Behavioral Health Agency	$0	$45.2M
Choices Behavioral Health Care	OH	Community/Behavioral Health Agency	$0	$20.7M
Team Recovery Ohio, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$17.1M
Greater Toledo Urgent Cares, LLC.	OH	Emergency Medicine Physician	$0	$10.9M
Mercy Health - St Anne Hospital LLC	OH	General Acute Care Hospital	$0	$10.6M
Toledo Home Healthcare LLC	OH	Home Health Agency	$0	$7.8M
The Pediatric Center, Inc.	OH	Pediatrics Physician	$0	$7.4M
Surgery Center At Regency Park, LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$666K
Jonathan Bernstein	OH	Retina Specialist (Ophthalmology) Physician	$1.2M	$0

Richard Phinney — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References