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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Cline (NPI 1245237080)

Field	Value
Entity Type	Individual
Organization	Richard Cline
Address	154 Myrtle Avenue
City	Murray
State	UT
ZIP	84107
Taxonomy	Nephrology Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$69.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	410	$90	$38.5K
99223	The 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…	90	$140	$11.6K
99232	The 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…	130	$60	$8.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$130	$3.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$100	$2.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$160	$2.4K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	40	$60	$2.3K
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…	10	$60	$630

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

Claims Volume vs. Utah Distribution

Richard Cline — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,056	4,080	80	$80	$11.6K
99233	12	700	50	$90	$7.9K
99215	777	1,190	40	$110	$7.5K
99232	183	880	60	$60	$6.1K
99223	55	760	30	$130	$4.9K
99205	336	460	20	$140	$4K
99222	273	570	20	$90	$3.4K
90935	8	30	30	$50	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T J Samson Community Hospital	KY	General Acute Care Hospital	$0	$95.7M
Akdhc, LLC	AZ	Nephrology Physician	$0	$54.8M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
T J Samson Community Hospital	KY	Family Medicine Physician	$0	$15.5M
Nikolaus King	TN	Acute Care Nurse Practitioner	$2.4M	$0
Joy Pollard-stoiber	AZ	Family Nurse Practitioner	$2.2M	$0
Idaho Kidney Institute LLP	ID	Nephrology Physician	$0	$644.9K
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K
Matthew Hrastich	MO	Diagnostic Radiology Physician	$134.1K	$399.7K
Nephrology Associates Of Utah LLC	UT	Nephrology Physician	$0	$511.6K

Richard Cline — Billing Profile & Reimbursement Data

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Richard Cline — 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

Frequently Asked Questions

References