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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Johnston (NPI 1477839066)

Field	Value
Entity Type	Individual
Organization	Richard Johnston
Address	1708 Yakima Ave
City	Tacoma
State	WA
ZIP	98405
Taxonomy	Urology Physician
NPI Enumerated	October 26, 2011

Payer Source	Total Paid
Medicare	$119.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$190	$16.6K
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…	110	$140	$14.5K
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…	150	$100	$14.3K
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…	200	$70	$14.2K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	20	$540	$12.4K
50545	The provider removes a kidney including surrounding structures such as Gerota's fascia, nearby lymph nodes, adrenal glands, and fatty tissue.	10	$1,100	$12.1K
52356	The provider performs a 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…	30	$340	$9.1K
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	20	$490	$7.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$140	$3.2K
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…	40	$80	$3.1K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Richard Johnston — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	83	180	90	$140	$14.4K
99214	3,813	10,860	100	$80	$13.6K
52601	5	30	20	$640	$12.2K
50545	1	10	10	$1,100	$12.1K
50590	16	20	20	$450	$10.4K
99215	3,979	4,320	40	$120	$8.4K
52356	12	70	20	$400	$8.1K
84153	33	140	30	$20	$7K
99213	1,374	9,690	60	$60	$6.5K
99223	1,552	2,570	30	$130	$6.4K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services-wa	WA	General Acute Care Hospital	$0	$62.4M
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Georgetown Memorial Hospital	SC	General Acute Care Hospital	$0	$27.6M
Providence Health & Services Washington	WA	Family Medicine Physician	$0	$20M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Pediatrics Physician	$0	$6.8M
Providence Health & Services - Washington	WA	General Practice Physician	$0	$6M
Providence Health & Services-washington	WA	Pediatrics Physician	$0	$3.2M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$2.9M

Richard Johnston — Billing Profile & Reimbursement Data

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Richard Johnston — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References