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    OpenPayerNPI Medicare & MedicaidRichard Graham
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    Richard Graham — Billing Profile & Reimbursement Data

    NPI 1225092794 · White River Junction, VT · Urology Physician

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    Richard Graham is a urology physician provider located in White River Junction, Vermont. This profile covers 15 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
    OrganizationRichard Graham
    Address108 N Main St
    CityWhite River Junction
    StateVT
    ZIP05001
    TaxonomyUrology Physician
    NPI EnumeratedApril 13, 2006

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

    Payer SourceTotal Paid
    Medicare$94.8K
    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.

    15 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…470$100$45.2K
    99204The provider sees a new 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 provider…100$130$12.1K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…60$190$11.1K
    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…100$70$6.9K
    51725A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.30$90$3K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.360$10$2.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$140$2.6K
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.70$40$2.4K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.20$130$2.3K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…30$50$1.6K

    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

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144496090$70$10.6K
    9923228732060$60$7.1K
    9921338191080$50$6.7K
    9922316223030$130$5.9K
    52000162080$60$5.2K
    992042833030$100$4.1K
    9922215223020$100$3.2K
    5172511030$90$3K
    9920330131030$60$2.7K
    5244121020$140$2.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours Medical Group Richmond Primary Care LLCVAFamily Medicine Physician$0$15.1M
    Bon Secours Medical Group Richmond Specialty Care LLCVACardiovascular Disease Physician$0$12.9M
    Bon Secours Medical Group Hampton Roads Specialty Care LLCVACardiovascular Disease Physician$0$9.8M
    Gifford Health Care, IncVTFederally Qualified Health Center (FQHC)$0$8.4M
    Saquib SameeVACardiovascular Disease Physician$1.1M$0
    William GillenVAMOHS-Micrographic Surgery Physician$1.1M$0
    Mitesh AminVACardiovascular Disease Physician$921.2K$2K
    Gifford Health Care, IncVTFederally Qualified Health Center (FQHC)$0$820.3K
    Shaival KapadiaVACardiovascular Disease Physician$781.5K$0
    Rebecca A Foulk Md PCVTPediatrics Physician$0$753.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Town Of HartfordVTAmbulance$171.8K$275.8K
    Schramm And Symancyk, PLLCVTGeneral Practice Dentistry$0$290K
    Kimberley HartellVTMarriage & Family Therapist$0$229.8K
    Dartmouth Health Home Care, Inc.VTHome Health Agency$0$219.8K
    Donald AndersonVTChiropractor$35.2K$100.4K
    White River Family Practice PCVTFamily Medicine Physician$0$130.6K
    White River Family Eyecare, PCVTOptometrist$0$126K
    Gifford Health Care, IncVTFederally Qualified Health Center (FQHC)$0$111.2K
    Julie DavisVTFamily Medicine Physician$92.7K$0
    Jill BlumbergVTFamily Medicine Physician$77K$0

    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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Vermont Distribution
    Richard Graham — 5 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont