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

Why is the Medicaid comparison limited to Oregon 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. Oregon (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.

Paul D. Reicherter, Md, PC (NPI 1407055437)

Paul D. Reicherter, Md, PC is a clinical & laboratory dermatological immunology physician provider located in Roseburg, Oregon. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Paul D. Reicherter, Md, PC
Address	1813 W Harvard Ave Ste 310
City	Roseburg
State	OR
ZIP	97471
Taxonomy	Clinical & Laboratory Dermatological Immunology Physician
NPI Enumerated	July 11, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,170	$60	$864.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	9,340	$70	$654.1K
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…	7,340	$50	$359.8K
99203	The 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…	2,800	$80	$210K
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…	1,550	$100	$150.4K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	2,520	$50	$125.8K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	180	$270	$49.1K
11100	N/A	530	$50	$28K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	240	$40	$8.5K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	120	$50	$6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Paul D. Reicherter, Md, PC — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	103	1,500	650	$70	$312.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	14	90	530	$50	$281.6K
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…	209	1,590	590	$50	$236.5K
99203	The 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…	49	600	120	$80	$83.3K
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…	47	530	80	$120	$68.5K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	6	10	200	$60	$53.4K
99212	The 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,…	257	570	110	$50	$37.6K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	3	10	180	$210	$27.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	114	240	80	$60	$24.7K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1	20	80	$50	$17.3K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Leposavic	CA	MOHS-Micrographic Surgery Physician	$1.2M	$0
Hayes Gladstone	CA	Dermatology Physician	$956K	$0
Kevin Svancara	AZ	MOHS-Micrographic Surgery Physician	$592.5K	$0
Catherine Barry	VA	Anatomic Pathology Physician	$381.7K	$0
Cory Maughan	UT	MOHS-Micrographic Surgery Physician	$303.1K	$0
Megan Smith	OR	Medical Physician Assistant	$282.5K	$0
Ashley Heuer	OR	Physician Assistant	$263.8K	$0
David Collins	OR	Medical Physician Assistant	$201.3K	$0
Winthrop Head	OR	Medical Physician Assistant	$188.9K	$0
Jaclyn Bondhus	OR	Physician Assistant	$184K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Oregon	OR	General Acute Care Hospital	$0	$29.3M
Centennial Medical Group East, LLC	OR	Rural Health Clinic/Center	$0	$15.3M
Roseburg Therapy LLC	OR	Mental Health Counselor	$0	$14.2M
Rick's Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.6M
Cep America LLC	OR	Emergency Medicine Physician	$0	$4.5M
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Liann W Drechsel Dmd PC	OR	Pediatric Dentistry	$0	$3.9M
Centennial Medical Group Inc.	OR	Surgery Physician	$0	$3.8M
Cow Creek Band Of Umpqua Tribe Of Indians	OR	Federally Qualified Health Center (FQHC)	$0	$3.4M
Valley View Mental Health Services, Inc	OR	Professional Counselor	$0	$3.1M

Paul D. Reicherter, Md, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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