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 Sica (NPI 1508878729)

Field	Value
Entity Type	Individual
Organization	Richard Sica
Address	827 E Colonial Ave Ste C
City	Moses Lake
State	WA
ZIP	98837
Taxonomy	Dermatology Physician
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicare	$90.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	610	$60	$37K
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…	270	$80	$20.4K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	380	$50	$17.9K
11644	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	20	$290	$6.1K
11104	The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.	30	$100	$2.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	70	$30	$2.1K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	420	$10	$2.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	20	$70	$1.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	40	$20	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Richard Sica — 2 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	301	340	530	$40	$39.4K
11102	360	410	110	$60	$8.9K
17000	114	510	160	$40	$8.5K
99213	204	9,690	60	$60	$6.5K
11644	1	10	20	$290	$6.1K
17003	255	440	550	$1	$4K
99203	33	3,140	30	$70	$3.3K
11104	47	190	20	$80	$2.2K
99211	240	550	40	$20	$940

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grant County Public Hospital District 1	WA	Rural Health Clinic/Center	$0	$28.1M
Moses Lake Community Health Center	WA	Dental Clinic/Center	$0	$26.7M
Grant County Public Hospital District 1	WA	General Acute Care Hospital	$0	$21.6M
Moses Lake Pediatric Dentistry	WA	Pediatric Dentistry	$0	$9.6M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$8.6M
Moses Lake Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$7.6M
Central Washington Sleep Diagnostic Center, PLLC	WA	General Practice Physician	$0	$6.9M
Dino Cacchiotti	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.4M
Inland Northwest Renal Care Group, LLC	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Moses Lake Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$4.4M

Richard Sica — Billing Profile & Reimbursement Data

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Richard Sica — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References