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 Harges (NPI 1336158815)

Field	Value
Entity Type	Individual
Organization	Richard Harges
Address	8th Avenue And C Street
City	Salt Lake City
State	UT
ZIP	84143
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicare	$2.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00160	The provider performs anesthesia services for a patient undergoing procedures on the nose and accessory sinuses, hollow chambers in the skull that open into the nasal cavity. Use this code when there…	10	$180	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Richard Harges — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00160	3	10	10	$160	$3.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$19.9M
Ihc Health Services Inc	UT	Hospitalist Physician	$0	$1.9M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$360.4K
Landon Coleman	UT	Anatomic Pathology & Clinical Pathology Physician	$180.9K	$8.5K
Mark Martinez	UT	Pulmonary Disease Physician	$155.2K	$0
Laura Tranchini	UT	Physician Assistant	$104.9K	$0
Robert Mazzola	UT	Sleep Medicine (Internal Medicine) Physician	$84.7K	$0
Christopher Herman	UT	Anatomic Pathology & Clinical Pathology Physician	$73.6K	$0
Ann Taylor	UT	Anatomic Pathology & Clinical Pathology Physician	$60.1K	$0
Melissa Cessna	UT	Anatomic Pathology & Clinical Pathology Physician	$40.8K	$0

Richard Harges — Billing Profile & Reimbursement Data

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

Richard Harges — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References