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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Vinglas (NPI 1588693741)

Field	Value
Entity Type	Individual
Organization	Richard Vinglas
Address	1450 Ellis St
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Surgery of the Hand (Surgery) Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicare	$298K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small but concentrated: total Medicare revenue is $298K and there is no Medicaid billing on file, so the provider is effectively a Medicare-only biller in the dataset. The provider’s NPI was enumerated 2006-07-01 (~20 years ago), indicating an established practice with long tenure in the market.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 52.5% of this provider’s total Medicare revenue, driven by J0775 (23.7%), 23472 (17.8%), and 99213 (11.0%). This concentration means a small number of procedures and injections disproportionately determine overall Medicare earnings.

The CPT mix aligns with a hand/upper-extremity surgical practice that also performs general shoulder arthroplasty and office-based injections. High-revenue procedural codes include operative hand/wrist procedures such as 64721 (carpal tunnel neuroplasty), 64718 (ulnar nerve surgery), 26055 (trigger finger release), and 25447 (carpometacarpal/intercarpal arthroplasty), while 23472 shows the practice also performs total shoulder arthroplasty and J0775/J3301 indicate frequent in-office injection therapy.

Competitive standing varies by service line: the provider ranks in high national percentiles for ambulatory E&M and some hand surgery procedures — 99213 is at the 94th percentile and 99214 at the 82th percentile, and 64721 is at the 92th percentile — signalling above-typical outpatient and carpal tunnel surgical throughput. By contrast, J0775 (the single largest revenue code) ranks at the 11th percentile nationally, so while it drives 23.7% of this provider’s Medicare revenue it does not represent a dominant national position for that specific injection.

There are notable statistical patterns in injection coding: J3301 appears as 1.7K claims at $1 avg paid/claim for $1.7K revenue and is flagged at the 95th percentile as "notably above typical national volume." This combination of very high claim count with very low average payment suggests frequent, low-dollar corticosteroid injections are a routine part of clinic activity and contribute materially to utilization counts even if they add limited revenue.

Operational implications for clinic capacity are apparent from high E&M and imaging volumes. The provider billed 514 claims for 99213 and 341 for 99214, and also shows substantial plain-film shoulder imaging (73030: 282 claims) at the 97th percentile, indicating steady ambulatory visit volume plus on-site or closely affiliated radiography capacity that supports same-day diagnosis and procedure planning.

Procedure-level competitive notes: the provider’s 23472 volume (47 claims, $1118 avg paid/claim, $52.5K revenue) sits at the 88th percentile nationally, implying the practice is a relatively high-volume national participant for total shoulder arthroplasty compared with peers. Conversely, several hand/arthroplasty codes (e.g., 23412 and 26340) show small absolute counts and low national percentile labels despite being present, indicating a focus on a subset of high-throughput procedures rather than a broad high-volume mix across all upper-extremity codes.

Payer concentration creates revenue risk and limits Medicaid exposure: with $298K in Medicare revenue and no Medicaid billing on file, performance and negotiations will be sensitive to Medicare reimbursement trends and patient age demographics; the absence of Medicaid revenue removes that diversification and suggests this provider’s payer mix is effectively single-payer in the available data.

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0775	Injection, collagenase, clostridium histolyticum, 0.01 mg	1,350	$50	$70.2K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	50	$1,120	$52.5K
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…	510	$60	$32.4K
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…	340	$90	$29.7K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	80	$310	$25.5K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	20	$630	$9.4K
64718	In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…	20	$470	$7.9K
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…	70	$110	$7.6K
23412	In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…	10	$670	$7.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	140	$50	$7.2K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Richard Vinglas — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0775	5	10	2,040	$50	$104.3K
64721	3	20	60	$400	$20.5K
23472	3	30	20	$720	$18.8K
26480	7	10	20	$610	$14K
99214	259	1,810	100	$70	$12.4K
26055	16	20	30	$280	$10.9K
23412	8	10	10	$730	$10.2K
25447	12	20	20	$490	$8.8K
99213	69	1,730	90	$50	$7.2K
64718	5	10	20	$390	$7.1K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clay Holley	MT	Ophthalmology Physician	$1.9M	$3K
Barrett Hospital Development Corporation	MT	Critical Access Hospital	$0	$1.2M
Barrett Hospital Development Corporation	MT	Critical Access Hospital	$0	$791.4K
Bridger Orthopedics And Sports Medicine, PC	MT	Orthopaedic Surgery Physician	$0	$547.2K
Eugene Slocum	MT	Interventional Pain Medicine Physician	$223.9K	$0
David Fortenberry	MT	Vascular Surgery Physician	$213K	$0
Benjamin Smith	CA	Orthopaedic Surgery of the Spine Physician	$209.6K	$0
Jarred Pinnick	MT	Physician Assistant	$205.3K	$0
Martin Gelbke	MT	Adult Reconstructive Orthopaedic Surgery Physician	$194.8K	$0
Nathaniel Readal	MT	Urology Physician	$193.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Bozeman Health Deaconess Hospital	MT	Family Medicine Physician	$0	$7.7M
Bozeman School District #7	MT	Local Education Agency (LEA)	$0	$5.5M
Emeritus Corporation	MT	Assisted Living Facility	$0	$4.6M
Bozeman Health Deaconess Hospital	MT	General Acute Care Hospital	$0	$4.5M
Nasim Aleagha	MT	Pediatric Dentistry	$0	$3.3M
Bozeman Health Deaconess Hospital	MT	Emergency Medicine Physician	$0	$2.8M
Option Care Enterprises Inc	MT	Home Infusion Therapy Pharmacy	$0	$2.7M
Providence Mental Health PLLC	MT	Clinical Social Worker	$0	$1.9M
The Cozy Nest	MT	Occupational Therapist	$0	$1.9M

Richard Vinglas — 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