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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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 Sayegh (NPI 1558597245)

Field	Value
Entity Type	Individual
Organization	Richard Sayegh
Address	566 Tollgate Road
City	Warwick
State	RI
ZIP	02886
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 8, 2009

Payer Source	Total Paid
Medicare	$378.1K
Medicaid	$0

Key Findings

This provider is an ophthalmology surgeon whose Medicare activity is heavily driven by cataract procedure codes: 66984 accounts for $205.2K (54.3% of Medicare revenue) and together the top three Medicare codes make up 73.4% of the provider’s total Medicare revenue. The code mix (66984, 66821, and 99204) indicates a practice focused on cataract surgery and associated pre/postoperative E/M visits rather than broad multispecialty services.

Medicare revenue for this provider totals $378.1K while there is no Medicaid billing on file, indicating an effectively single-payer footprint concentrated in Medicare for billed services. The absence of Medicaid activity suggests either a patient panel primarily covered by Medicare or billing arrangements that do not involve state Medicaid programs.

Revenue concentration is high: the top three Medicare codes represent 73.4% of total Medicare revenue, with 66984 alone representing 54.3% ($205.2K). This concentration signals that surgical cataract procedures are the primary revenue generator and that the practice’s financial performance is sensitive to volume or reimbursement changes for those key cataract codes.

Competitive standing by code shows mixed positioning. For the principal code 66984 the provider ranks #1570 of 15965 (90th percentile), which positions them above the majority of peers nationally and reflects a typical but unremarkable volume for cataract extraction with IOL insertion. For 66821 the provider ranks in the 82nd percentile (#1784 of 10087), again a solid but not dominant national presence for posterior capsulotomy services.

There are notable deviations versus peers in E/M and diagnostic services: code 99204 (new patient, moderate complexity) is an extreme outlier at the 99th percentile (#1388 of 227068) indicating an unusually high volume of higher-complexity new-patient office visits for a provider whose revenue is otherwise surgery-dominated. Similarly, diagnostic/measurement codes 92136 and 92025 are both notably above typical national volume (96th and 98th percentiles respectively), which suggests significant preoperative assessment or ocular biometry activity supporting the surgical case mix.

Procedure-level detail shows a range of complexity in surgical cases. The provider bills both routine cataract extraction with IOL insertion (66984) and more complex extracapsular techniques or adjunct devices (66982 at 7.2% of revenue), plus glaucoma-related or pediatric procedures (65820 at 4.5%), indicating capability to manage a spectrum of anterior-segment surgical needs rather than only straightforward cataract cases.

Tenure is long: the NPI was enumerated on 2009-06-08 (~17 years ago), which supports the interpretation of established referral patterns and sustained Medicare surgical volume over time. That longevity aligns with the provider’s above-median national ranks on key ophthalmic procedure and diagnostic codes.

Although the provider posts strong percentile ranks for several ophthalmic procedural and diagnostic codes, most ranked positions are described as “typical, unremarkable volume” except for the clear outlier on 99204 and the notably above-typical ranks on biometry and keratometry codes. Overall, this profile is consistent with an established cataract-focused ophthalmologist who sees a high share of Medicare surgical cases and substantial preoperative evaluation activity.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1,400	$150	$205.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$310	$38.2K
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…	290	$120	$34.1K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	50	$530	$27K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	690	$30	$19.2K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	30	$660	$17.1K
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…	180	$90	$15.9K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	340	$30	$9.6K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	20	$260	$6K
68841	The provider inserts an implant that delivers a drug at a controlled rate into the lacrimal ducts of the eye to treat inflammation, glaucoma, or other conditions. The provider may also dilate the…	290	$10	$3.8K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Richard Sayegh — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	12	40	370	$80	$71.1K
66991	6	10	30	$800	$26.5K
66982	3	10	30	$410	$25.2K
65820	3	10	30	$740	$22.3K
66821	4	30	40	$270	$14.8K
99214	557	1,950	100	$80	$11.7K
99213	1,647	1,950	70	$60	$7.4K
92136	3	30	170	$20	$5.6K
99204	5	740	30	$110	$4.6K
92025	1	10	80	$30	$2.5K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kameran Lashkari	MA	Ophthalmology Physician	$2M	$0
Koch Eye Associates LLP	RI	Ophthalmology Physician	$0	$1.8M
Candescent Eye Health Surgicenter, LLC	MA	Ambulatory Surgical Clinic/Center	$1.1M	$369.1K
Candescent Eye Surgicenter LLC	RI	Ambulatory Surgical Clinic/Center	$1.5M	$0
Tatyana Serednyakova	RI	Ophthalmology Physician	$1.3M	$6.4K
Corey Westerfeld	MA	Ophthalmology Physician	$1.2M	$0
Mona Klibanoff	RI	Optometrist	$13.1K	$691.3K
Vikrant Donthamsetti	RI	Ophthalmology Physician	$162.6K	$510.6K
Alyse Richard	MA	Retina Specialist (Ophthalmology) Physician	$524K	$0
John Meehan	MA	Ophthalmology Physician	$491.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M

Richard Sayegh — 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