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    OpenPayerNPI Medicare & MedicaidSean Richardson
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    Sean Richardson — Billing Profile & Reimbursement Data

    NPI 1508144304 · Fairbanks, AK · Family Medicine Physician

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    Sean Richardson is a family medicine physician provider located in Fairbanks, Alaska. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Richardson
    Address1650 Cowles St
    CityFairbanks
    StateAK
    ZIP99701
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 27, 2011

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

    Payer SourceTotal Paid
    Medicare$12.4K
    Medicaid$0

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.250$10$2.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…50$50$2.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…250$10$2K
    99213The 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…20$70$1.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.80$10$1.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…70$10$700
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$20$650
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…20$40$650
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…30$10$410
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…40$10$340

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131,1941,29070$70$8.5K
    8763594020$50$1.7K
    710466512040$10$1.5K
    8388041020$40$1.4K
    800531819070$10$1.4K
    850251416060$10$1.1K
    800614414050$10$890
    830366719050$10$630
    96127202040$1$350
    8565192030$1$300

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tanana Valley Clinic LLCAKMulti-Specialty Clinic/Center$0$15.2M
    Cross Road Health Ministries, Inc.AKFederally Qualified Health Center (FQHC)$0$1.6M
    Cross Road Health Ministries, Inc.AKFederally Qualified Health Center (FQHC)$0$1.2M
    Carson WebbAKInterventional Cardiology Physician$387.8K$0
    Ian BrimhallAZOrthopaedic Surgery Physician$210.5K$109K
    Brooke WallsCODermatology Physician$264.8K$0
    Sarah EllisGAFamily Nurse Practitioner$236.9K$0
    Raymond AndreassenAKFamily Medicine Physician$121.3K$93.4K
    Romel WrennAKInterventional Cardiology Physician$185K$0
    Gregory StrohmeyerAKOrthopaedic Surgery Physician$177.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alaska Distribution
    Sean Richardson — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska