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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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 Kretschmann (NPI 1427582345)

Field	Value
Entity Type	Individual
Organization	Richard Kretschmann
Address	#223-8604 Gateway Blvd
City	Edmonton
State	XX (Unspecified Location)
ZIP	T6E4B
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 18, 2017

Payer Source	Total Paid
Medicare	$35.8K
Medicaid	$0

Key Findings

This provider’s billing profile is effectively single‑payer: total Medicare revenue is $35.8K and there is no Medicaid billing on file. The absence of any Medicaid claims means analyses of payer mix should treat this entity as Medicare‑centric and not representative of dual‑payer behavior.

Revenue is highly concentrated in three emergency/critical‑care codes: 99285 ($23K, 63.9% of Medicare revenue), 99284 ($7.6K, 21.0% of Medicare revenue), and 99291 ($3.8K, 10.7% of Medicare revenue); precomputed totals show the top 3 codes account for 95.6% of this provider’s total Medicare revenue. This concentration indicates that changes in ED visit acuity or staffing for these specific services would materially affect the provider’s revenue.

The code mix points to an emergency‑department practice focused on high‑acuity E/M care: 99285 and 99284 together represent the bulk of revenue and are standard ED evaluation and management codes for high and moderate medical decision making, while 99291 reflects intermittent critical care billing. Claim counts (99285: 170 claims; 99284: 83 claims; 99291: 24 claims) and the average paid amounts ($135, $91, and $160 respectively) further support an operational focus on episodic, high‑acuity ED encounters.

Competitive standing for the primary high‑acuity code 99285 is modestly above median: the provider ranks #18699 of 61347 providers nationally (69th percentile) and is described as having a typical, unremarkable volume for this code. This suggests the provider is neither a national outlier nor a high‑volume regional leader for 99285, but instead participates at a broadly typical level.

For 99284 the provider ranks #21642 of 64306 nationally (66th percentile) and is also described as having a typical, unremarkable volume, indicating moderate national participation for moderate‑acuity ED visits. By contrast, 99291 (critical care) ranks #52482 of 71290 nationally (25th percentile) and is labeled as typical, unremarkable volume; this rank pattern shows relatively lower utilization of billed critical care time compared with peers.

Ancillary and lower‑revenue codes contribute only a small share of Medicare receipts: 99283 generated $946 (2.6% of Medicare revenue) and 93010 generated $618 (1.7% of Medicare revenue). These small dollar contributions indicate limited ancillary reporting beyond core ED evaluation and management services.

The provider has an NPI enumeration date of 2017-04-18 (~9 years ago), indicating a multi‑year presence in Medicare billing records. This tenure supports interpreting the observed code mix and revenue levels as an established billing pattern rather than a short‑lived anomaly.

Taken together — modest total Medicare revenue ($35.8K), no Medicaid activity, and heavy dependence on a small set of ED and critical‑care codes (top 3 = 95.6% of revenue) — the profile is most consistent with a clinician delivering episodic, high‑acuity emergency services (for example shift‑based or part‑time ED coverage). Analysts should treat the account as sensitive to fluctuations in ED encounter mix and not as a diversified outpatient or inpatient billing practice.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	170	$140	$22.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	80	$90	$7.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$160	$3.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$40	$950
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	100	$10	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Richard Kretschmann — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	4	10	180	$180	$31.7K
93010	2	0	N/A	$N/A	$N/A
99283	3	0	N/A	$N/A	$N/A
99284	4	0	N/A	$N/A	$N/A
99285	3	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis County Emergency Physicians PA	TX	Emergency Medicine Physician	$0	$47.3M
Oxbow Emergency Physicians PLLC	TX	Emergency Medicine Physician	$0	$14.9M
Michael Glassinger	LA	Emergency Medicine Physician	$1.5M	$0
Katan Patel	TX	Emergency Medicine Physician	$1.3M	$0
Gregory Messner	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1M	$0
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Christopher Durham	TX	Vascular Surgery Physician	$495.7K	$0
Edward Lucas	FL	Emergency Medicine Physician	$165K	$257.3K
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Clifford Alprin	TX	Family Medicine Physician	$318.6K	$0

Richard Kretschmann — 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

Frequently Asked Questions

References