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

    NPI 1417905043 · Toms River, NJ · Vascular Surgery Physician

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    Richard Daniels is a vascular surgery physician provider located in Toms River, New Jersey. This profile covers 22 Medicare and 1 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 Daniels
    Address54 Bey Lea Rd
    CityToms River
    StateNJ
    ZIP08753
    TaxonomyVascular Surgery Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$827.7K
    Medicaid$5.4K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A30$8,020$264.8K
    37225N/A40$6,420$237.4K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…900$170$153.7K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…50$890$42.9K
    36466In this procedure, the provider injects a noncompounded foam sclerosing solution into multiple incompetent truncal veins under ultrasound guidance to guide the dispersion of foam, most commonly to…20$1,270$22.8K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…20$1,060$21.3K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…20$950$19K
    36247Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…10$1,340$16.1K
    36140Code 36140 is used to report introduction of a needle or intracatheter into an upper or lower extremity artery for injection purposes.50$240$12.1K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…190$40$7.9K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    37229163030$6,870$370.7K
    3722573030$5,350$176.7K
    36902507050$1,050$106.5K
    36466132060$1,320$71.5K
    37252215050$830$59.6K
    36475385030$970$50.5K
    37253394080$150$21.8K
    36247304020$570$13.8K
    9921310,50214,090100$70$13.1K
    93925243030$180$10.8K

    Showing 1–10 of 22

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…160$40$5.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…3680120$60$38.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chinatown True Care Medical PLLCNYInternal Medicine Physician$0$94.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Medalliance Medical Health Services IncNYClinic/Center$0$32.5M
    Advocare, LLCNJPediatrics Physician$0$32.1M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Cooper University Radiology, PCNJDiagnostic Radiology Physician$0$22.9M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NJHome Health Agency$0$269.7M
    Easter Seals New JerseyNJCommunity/Behavioral Health Agency$0$46M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$38.8M
    Loving Care Agency, IncNJHome Health Agency$0$19.2M
    Pediatric Affiliates PANJPediatrics Physician$0$17M
    Toms River Regional SchoolsNJLocal Education Agency (LEA)$0$14.9M
    Bayada Home Health Care, Inc.NJHome Health Agency$0$13M
    Preferred Home Health Care & Nursing Services, IncNJHome Health Agency$0$11.1M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$9.8M
    Cmg Brentwood, LLCNJAssisted Living Facility$0$9.3M

    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. New Jersey Distribution
    Richard Daniels — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Richard Daniels — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey