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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Frieden (NPI 1336183045)

Field	Value
Entity Type	Individual
Organization	Richard Frieden
Address	1234 Napier Ave
City	St Joseph
State	MI
ZIP	49120
Taxonomy	Clinical Neurophysiology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$18.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$140	$3.8K
99204	The 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…	40	$90	$3.8K
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…	40	$70	$2.9K
99213	The 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…	50	$50	$2.4K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	30	$70	$2.2K
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…	20	$90	$1.9K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	30	$40	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Richard Frieden — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,737	15,470	80	$80	$11.4K
95816	59	130	30	$150	$6.7K
99213	8,162	14,810	60	$60	$6.6K
99215	2,969	4,420	30	$110	$6K
99205	588	1,680	20	$150	$4.3K
99204	1,959	6,280	30	$110	$4.2K
95813	3	10	20	$120	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Community Hospital Watervliet	MI	Rural Health Clinic/Center	$0	$9.1M
Lakeland Immediate Care Center	MI	Federally Qualified Health Center (FQHC)	$0	$5.8M
Southwestern Michigan Community Ambulance Service	MI	Ambulance	$513.2K	$2.4M
John-phillip Markovic	MI	Internal Medicine Physician	$118.8K	$0
Jennifer Thompson-boothe	MI	Occupational Therapist	$98.3K	$0
William Fox	MI	Podiatrist	$76.5K	$0
Lloyd Redington	MI	Chiropractor	$45.7K	$0
Sharon Rooney-gandy	MI	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$35.2K	$0
Tracy Tacket	MI	Family Medicine Physician	$35.1K	$0
Lenser Ochieng	MI	Certified Registered Nurse Anesthetist	$31.5K	$0

Richard Frieden — Billing Profile & Reimbursement Data

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

Richard Frieden — Billing Profile & Reimbursement Data

Sign up for Richard Frieden — 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