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

    NPI 1306841002 · Brookfield, WI · Adult Medicine Physician

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    Richard Fuller is a adult medicine physician provider located in Brookfield, Wisconsin. This profile covers 21 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Fuller
    Address17780 Versailles Ct
    CityBrookfield
    StateWI
    ZIP53045
    TaxonomyAdult Medicine Physician
    NPI EnumeratedJune 17, 2005

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

    Payer SourceTotal Paid
    Medicaid$408.5K
    Medicare$368.6K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…1,490$90$129.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…1,460$60$90.5K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose1,000$60$58.8K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.600$20$14.4K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…260$40$11.2K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…210$40$7.4K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.210$30$6.9K
    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$60$6.3K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…80$70$6.1K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…70$80$5.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,9109,80080$70$9.2K
    97530151900220$20$8.3K
    J732112070$60$7.1K
    971106541,550280$20$6.6K
    64624102020$230$5.9K
    9942611060$40$5.1K
    992132,7009,38060$50$4.7K
    206114515040$60$4.2K
    992055941,07020$140$4K
    9753578200100$20$4K

    Showing 1–10 of 21

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…4,600$40$197.8K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…4,620$30$133.8K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose390$80$31.2K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…550$30$18.1K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.530$20$7.9K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg40$120$5.2K
    J1885Injection, ketorolac tromethamine, per 15 mg4,330$1$4.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.300$10$2.7K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…70$30$2.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…230$10$1.6K

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,3491,630270$40$205.3K
    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…1,0551,760250$40$173.2K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…5146302,500$20$135.5K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.160260690$40$133.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…369690160$60$90.4K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…490120$50$45K
    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…255330110$70$37.7K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose210440$80$32.8K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…410550$50$20.6K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…132090$60$18.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Aky Md, LLCOKPediatrics Physician$0$42.2M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Aspirus Merrill Hospital & Clinics, Inc.WICritical Access Hospital$0$11.1M
    Aspirus Riverview Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.9M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Deepak SambharaWIOphthalmology Physician$4.3M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Aspirus Eagle River Hospital & Clinics, Inc.WICritical Access Hospital$0$3.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenfield Rehabilitation Agency, Inc.WIPhysical Therapist$0$14.2M
    Newborn Care Physicians Of Southeastern Wisconsin, LLPWINeonatal-Perinatal Medicine Physician$0$8M
    Summit Clinical Laboratories LLCWIClinical Medical Laboratory$65.5K$4.9M
    Healing Corner, LLCWIPrimary Care Clinic/Center$0$2.9M
    Allay Home And Hospice, Inc.WICommunity Based Hospice Care Agency$0$2.8M
    Michael ShefskyWIPsychologist$0$1.8M
    Hannah SongWIDermatology Physician$222.3K$0
    Aaron HoltebeckWIOphthalmology Physician$168.6K$0
    Nicole JodatWIMedical Physician Assistant$114.1K$0
    Judith HummelWIAcute Care Nurse Practitioner$107.2K$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. Wisconsin Distribution
    Richard Fuller — 8 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Richard Fuller — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin