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

Why is the Medicaid comparison limited to New York 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. New York (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 Knight (NPI 1477722684)

Field	Value
Entity Type	Individual
Organization	Richard Knight
Address	30 Harrison St Ste 460
City	Johnson City
State	NY
ZIP	13790
Taxonomy	Urology Physician
NPI Enumerated	February 22, 2008

Payer Source	Total Paid
Medicare	$44K
Medicaid	$0

Key Findings

This profile is concentrated in Medicare-only billing: the provider has $44K in total Medicare revenue and has no Medicaid billing on file, making this effectively a single-payer Medicare footprint. The NPI was enumerated 2008-02-22 (~18 years ago) and the taxonomy is Urology Physician in JOHNSON CITY, NY, indicating long-standing urology practice activity with a small Medicare revenue base.

Revenue is highly concentrated in a very small set of E/M and procedural codes: the precomputed top three Medicare codes account for 77.4% of the provider's Medicare revenue, led by 99214 at $20.4K (46.0%), followed by 52649 at $9.5K (21.5%) and 99204 at $4.4K (9.9%). That concentration suggests the practice’s Medicare billing is dependent on a few high-yield visit and procedure codes.

The mix of top codes indicates a typical office-based urology practice with some operative and diagnostic procedure capacity: high-weight E/M codes 99214 and 99204 dominate revenue, while procedural codes linked to prostate surgery and endoscopy (52649, 52000, 52332) and imaging (74420, 76872) are also billed, consistent with a clinician doing both outpatient visits and selected urologic procedures. This pattern points to a blended ambulatory clinic that also performs diagnostic/endoscopic work.

Competitive standing on the primary E/M code is above median nationally: 99214 ranks #102430 of 479517 providers (79th percentile; typical, unremarkable volume), meaning the provider sees more Medicare established-patient office visits than most peers, even though the source characterizes that volume as typical. That relative strength in 99214 is the main driver of the provider’s Medicare scale.

In contrast, procedural and hospital code volumes are modest to low: 52649 ranks #174 of 218 providers nationally (16th percentile; typical, unremarkable volume), and other procedure codes such as 52332 (12th percentile) and 52000 (39th percentile) likewise sit below median or modestly so. These ranks imply the provider is not a national leader in prostate enucleation or other urologic surgeries and likely performs a limited number of such procedures relative to specialized surgical peers.

Hospital and observation visit activity is limited: inpatient/observation initial care 99222 ranks in the 9th percentile and subsequent inpatient visits such as 99231 rank in the 21st percentile, with both contributing small shares of Medicare revenue. This indicates the provider’s hospital-based E/M billing is minimal and the practice’s revenue and workload are primarily ambulatory.

Given the small lifetime Medicare revenue ($44K) and the concentration of 77.4% of that revenue in three codes, the provider has a small Medicare billing footprint that could be sensitive to changes in reimbursement or coding patterns for those few high-share codes. From a payer or network perspective, this profile looks like a low-volume or niche Medicare participant rather than a high-volume referral center.

The absence of any Medicaid billing on file is notable for payer-mix and contracting considerations: with no Medicaid claims reported, the provider lacks Medicaid exposure which reduces diversification of public-payer revenue and may limit leverage or relevance in Medicaid-focused networks or value-based arrangements. Payers should treat this entity as effectively Medicare-only when modeling utilization or negotiating outpatient/urology arrangements.

Medicare: Complete Services Breakdown

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

11 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…	300	$70	$20.4K
52649	Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men. BPH often causes lower urinary symptoms, with…	20	$630	$9.5K
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…	50	$100	$4.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	60	$60	$3.4K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	10	$110	$1.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.3K
55700	Code deleted December 31, 2025.	20	$90	$1.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$910
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$780
74420	The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…	20	$20	$340

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Richard Knight — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4	30,450	90	$100	$19K
52649	1	10	30	$690	$18.5K
52000	1	620	60	$170	$14.3K
76872	1	300	30	$110	$6.9K
99204	4	14,170	30	$130	$6.6K
55700	1	230	20	$190	$6.3K
99222	3	7,870	30	$110	$5.9K
99231	2	3,700	40	$40	$3.3K
52332	1	160	20	$140	$3.2K
99221	1	1,650	20	$70	$2.6K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Health Services Hospitals, Inc.	NY	General Acute Care Hospital	$0	$163M
Our Lady Of Lourdes Memorial Hospital Inc.	NY	General Acute Care Hospital	$0	$58.4M
Shilpa Sambidi	NY	Hematology & Oncology Physician	$847.8K	$39.4K
James Lim	NY	Diagnostic Radiology Physician	$670.7K	$3.5K
Khalid Sethi	NY	Neurological Surgery Physician	$423.8K	$31.6K
Daniel Welchons	NY	Urology Physician	$435.9K	$5.8K
James Lee	NY	Hematology & Oncology Physician	$352.3K	$25.7K
Madhuri Yalamanchili	NY	Hematology & Oncology Physician	$306.6K	$29.3K
Alexander Factourovich	NY	Psychiatry Physician	$70.4K	$228.5K
Merita Bania	NY	Diagnostic Radiology Physician	$51.2K	$246.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Egbers	NY	MOHS-Micrographic Surgery Physician	$476.3K	$0
Kevin Hastings	NY	Pain Medicine Physician	$176.7K	$0
Hisham Kashou	NY	Cardiovascular Disease Physician	$144.8K	$11.9K
Owais Ahmed	NY	Interventional Cardiology Physician	$123.4K	$11.8K
Michail Vitellas	NY	Cardiovascular Disease Physician	$120.4K	$10.7K
Thomas Gudas	NY	Neuroradiology Physician	$90K	$24.6K
Afzal Rehman	NY	Interventional Cardiology Physician	$100.1K	$2.1K
Lisa Cerutti	NY	Physical Therapist	$96.3K	$0
Keyoor Patel	NY	Cardiovascular Disease Physician	$81K	$14.6K
Matthew Bennett	NY	Orthopaedic Surgery Physician	$78.5K	$15.3K

Richard Knight — 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