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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Jesse Richman (NPI 1346402872)

Field	Value
Entity Type	Individual
Organization	Jesse Richman
Address	593 Eddy St
City	Providence
State	RI
ZIP	02903
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 26, 2008

Payer Source	Total Paid
Medicare	$454.1K
Medicaid	$0

Key Findings

This provider’s public billing footprint is effectively single‑payer: total Medicare revenue is $454.1K and there is no Medicaid billing on file. The absence of any Medicaid claims indicates the provider’s recorded revenue stream is concentrated in Medicare patients rather than a mixed Medicare/Medicaid panel.

Revenue is heavily concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 62.2% of this provider’s total Medicare revenue. Those top three codes are 66984 ($191.3K, 42.1%), 99204 ($47.5K, 10.4%), and 99214 ($43.8K, 9.6%), which together drive the majority of billings.

The code mix indicates a cataract‑focused ophthalmology practice with integrated preoperative and follow‑up care: 66984 (cataract extraction with IOL insertion) is the single largest revenue source ($191.3K, 42.1%), and high volumes of 92136 (biometry; 996 claims, $20.9K, 4.6%) and 66821 (YAG capsulotomy; 140 claims, $38.9K, 8.6%) suggest the practice performs the full surgical workflow from measurement through intraocular lens selection to post‑op laser procedures. Concurrently, elevated E/M billing (99204 and 99214) shows substantial office evaluation and management activity linked to that surgical service line.

Clinical breadth includes glaucoma and other anterior‑segment procedures: 65820 (limbal incision for congenital glaucoma) generated $26.3K (5.8%) and 65855 (laser trabeculoplasty) generated $8K (1.8%), indicating the provider performs therapeutic glaucoma procedures in addition to cataract surgery. These codes are a meaningful portion of revenue and point to a mixed surgical practice rather than purely refractive or diagnostic work.

Competitive standing is mixed by measure: for the primary surgical code 66984 the provider ranks #2886 of 15965 nationally (82th percentile; typical, unremarkable volume), which positions them as a modest participant in cataract surgery on a national scale. Conversely, the provider is a national high‑volume outlier on other measures: 99204 ranks #507 of 227068 (100th percentile; extreme outlier, far above typical national volume) and 92136 ranks #105 of 8731 (99th percentile; extreme outlier, far above typical national volume), showing unusually high new‑patient E/M and biometry throughput relative to peers.

The profile of statistical outliers suggests operational emphasis on intake and surgical planning: the extreme outlier status for 99204 and 92136 implies the provider sees an above‑typical number of new patient evaluations and performs a very high volume of biometry relative to national peers. By contrast, many other procedure codes (including several cataract and imaging codes) are described as “typical, unremarkable volume,” which indicates the practice mixes unusually high front‑end evaluation/measurement volume with otherwise standard procedural activity.

Revenue and reimbursement characteristics reinforce the procedural focus: the top surgical code 66984 carries an average paid/claim of $375, while the top new‑patient E/M 99204 carries $122 avg paid/claim and 99214 carries $95 avg paid/claim, showing that a large share of revenue comes from higher‑paid surgical episodes supplemented by frequent E/M encounters. That reimbursement mix is consistent with a surgery‑oriented ophthalmology practice that also bills significant face‑to‑face evaluation time.

The provider has an established billing history, with NPI enumeration dated 2008-06-26 (~18 years ago), which combined with the Medicare‑only billing footprint suggests a long‑standing practice focused on Medicare beneficiaries and surgical ophthalmology rather than broader Medicaid service delivery. This tenure supports interpretation of the billing patterns as steady practice behavior rather than a short‑term aberration.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	510	$380	$191.3K
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…	390	$120	$47.5K
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…	460	$100	$43.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	140	$280	$38.9K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	40	$710	$26.3K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	50	$450	$22.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	50	$500	$22.4K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	1,000	$20	$20.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	220	$50	$11.4K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	40	$210	$8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Jesse Richman — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	20	40	370	$80	$71.1K
66991	3	10	30	$800	$26.5K
66982	4	10	30	$410	$25.2K
65820	2	10	30	$740	$22.3K
66821	2	30	40	$270	$14.8K
99214	95	1,950	100	$80	$11.7K
92134	31	120	50	$30	$6.6K
65855	3	10	40	$180	$6.4K
92136	1	30	170	$20	$5.6K
92012	42	90	40	$60	$4.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Eye Specialists P A	NJ	Ophthalmology Physician	$0	$9M
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0
James Vander	PA	Ophthalmology Physician	$6.3M	$0
Marc Spirn	PA	Ophthalmology Physician	$6.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rhode Island Hospital	RI	General Acute Care Hospital	$0	$380.8M
Maxim Healthcare Services, Inc.	RI	Home Health Agency	$0	$32.1M
Children's Friend And Service	RI	Voluntary or Charitable Agency	$0	$18.7M
City Of Providence Rhode Island	RI	Local Education Agency (LEA)	$0	$18.6M
Brown Emergency Medicine	RI	Emergency Medicine Physician	$0	$12.3M
The Providence Center	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
Brown Neurology	RI	Neurology Physician	$0	$9.9M
One Stone L.L.C.	RI	Home Health Agency	$0	$8.6M
Recovery Connection Centers Of America, Inc.	RI	Multi-Specialty Clinic/Center	$0	$7.5M
City Of Providence Rhode Island	RI	Land Ambulance	$917.7K	$6.4M

Jesse Richman — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References