Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRichard Durocher
    Ask Trek AI about this page

    Richard Durocher — Billing Profile & Reimbursement Data

    NPI 1306820956 · North Haven, CT · Foot Surgery Podiatrist

    Customize your policy alerts

    Sign up for Richard Durocher — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Richard Durocher is a foot surgery podiatrist provider located in North Haven, Connecticut. This profile covers 9 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Durocher
    Address20 Washington Ave
    CityNorth Haven
    StateCT
    ZIP06473
    TaxonomyFoot Surgery Podiatrist
    NPI EnumeratedDecember 6, 2005

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

    Payer SourceTotal Paid
    Medicare$88.6K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.560$80$42.5K
    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…180$80$13.8K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.400$30$11.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.160$40$5.9K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…40$110$4.6K
    G0127Trimming of dystrophic nails, any number400$10$4K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$60$2.5K
    99203The provider sees a new 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 provider…20$90$2K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.20$100$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9934911015090$90$14.6K
    1105735090$70$11.1K
    1172180150160$30$10.7K
    992131,2926,44070$60$8.1K
    1172014100130$30$6.6K
    G01272380180$10$5.4K
    992031,5142,25030$80$3.5K
    11730234030$90$2.5K
    9934272030$60$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Philip MinottiCTAdult Reconstructive Orthopaedic Surgery Physician$223.3K$0
    Jesse ParksCTPodiatrist$157.4K$0
    Estell PappasCTPodiatrist$133.8K$0
    John BeinerCTOrthopaedic Surgery of the Spine Physician$129.8K$0
    Peter BlumeCTPodiatrist$113.7K$0
    Philip JaffeMTGastroenterology Physician$108.6K$0
    Thomas MoranCTOrthopaedic Surgery Physician$80.8K$0
    David CaminearCTFoot & Ankle Surgery Podiatrist$79.8K$0
    Sanda TomakCTOrthopaedic Foot and Ankle Surgery Physician$78.3K$0
    David NovickiCTPodiatrist$63.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apt Foundation, IncCTMethadone Clinic$0$36.6M
    Efk Of Connecticut, Inc.CTLand Ambulance$2.2M$9.1M
    Epic Family Physicians, LLPCTFamily Medicine Physician$0$7.9M
    Family Practice & Internal Medicine, LLCCTInternal Medicine Physician$0$6.9M
    Pediatrics Plus PCCTPediatric Nurse Practitioner$0$2.2M
    Mindful Mediation LLCCTClinical Social Worker$0$1.7M
    Interim Healthcare Of North Haven, Inc.CTHome Health Agency$0$1.7M
    Complete PediatricsCTPediatric Adolescent Medicine Physician$0$1.6M
    Pediatrics Plus PCCTPediatrics Physician$0$1.1M
    Art Therapy Of Hamden LLCCTProfessional Counselor$0$1.1M

    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. Connecticut Distribution
    Richard Durocher — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut