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

Why is the Medicaid comparison limited to California 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. California (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.

Melissa Richling (NPI 1558923201)

Field	Value
Entity Type	Individual
Organization	Melissa Richling
Address	757 Westwood Plz Ste 3325
City	Los Angeles
State	CA
ZIP	90095
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	July 2, 2019

Payer Source	Total Paid
Medicare	$1.2K
Medicaid	$0

Key Findings

This provider is a Certified Registered Nurse Anesthetist whose Medicare billing is entirely tied to anesthesia for eye lens procedures, represented by code 00142 ("The provider performs anesthesia services for a patient undergoing an eye lens procedure"). The code mix points to a practice pattern focused on ophthalmic anesthesia rather than a broader anesthesia case mix, suggesting work concentrated around cataract or lens procedures rather than diverse surgical modalities.

Medicare revenue is extremely concentrated: the precomputed top-3 share is 100.0% of this provider's Medicare revenue, and the single listed code 00142 accounts for the full $1.2K in Medicare receipts. That line is supported by 15 claims at an average paid amount of $79 per claim, indicating the provider’s Medicare activity is narrowly focused and low in absolute dollar terms.

This provider effectively operates as a Medicare-only biller in the dataset: total Medicare revenue is $1.2K while there is no Medicaid billing on file. The absence of Medicaid activity means payer mix analysis should treat this entity as single-payer (Medicare) for the period covered, with negligible Medicaid exposure or revenue diversification.

On competitive standing for the primary code, the provider ranks #16543 of 19760 nationally (13th percentile), a placement labeled in the source as "typical, unremarkable volume for this code." This rank characterizes the provider as a modest participant at the national level for 00142 rather than a major or dominant supplier of ophthalmic anesthesia services.

The NPI enumeration date is 2019-07-02 (≈7 years ago), indicating several years of eligibility to bill Medicare despite a small billing footprint. Combined with low total Medicare receipts, the tenure suggests either part-time/occasional billing patterns or a recent transition into clinical billing rather than extended high-volume practice.

Statistical standing for the reported code is explicitly described in the source as "typical, unremarkable volume," so while the provider sits low in the national rank list, its utilization for 00142 is within the expected distribution for peers rather than an extreme outlier. Analysts should interpret the low rank as modest activity rather than anomalous behavior when benchmarking against national peers.

From an operational and payer-relations perspective, the provider’s lifetime Medicare revenue of $1.2K implies limited Medicare-facing scale and therefore low contracting leverage or visibility to payers. For profiling or network planning, this entity represents a small, specialized anesthesia biller focused on eye lens procedures rather than a substantial revenue-generating anesthesia practice.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	20	$80	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Melissa Richling — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	3	1,670	40	$100	$7.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Regents Of The University Of California	CA	Internal Medicine Physician	$0	$35.9M
Lee Rosen	CA	Specialist	$315.9K	$0
Jeffrey Suh	CA	Otolaryngology Physician	$186.4K	$0
Min Yang	VA	Anesthesiology Physician	$92.1K	$0
Zhuang-ting Fang	CA	Anesthesiology Physician	$85.4K	$0
Julie Tran	CA	Anesthesiology Physician	$84K	$0
Nirmala Abraham	OH	Pain Medicine Physician	$79.7K	$0
Gabrielle Madsen	VA	Anesthesiology Physician	$60.9K	$0
Caroline Morris	VA	Anesthesiology Physician	$60.2K	$0
Xuezhi Dong	CA	Anesthesiology Physician	$60.2K	$0

Melissa Richling — Billing Profile & Reimbursement Data

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Melissa Richling — 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

Frequently Asked Questions

References