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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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 Wachs (NPI 1619922622)

Field	Value
Entity Type	Individual
Organization	Richard Wachs
Address	4901 Lang Ave Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Allergy Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$487.4K
Medicaid	$0

Key Findings

This provider has a long tenure in Medicare billing, with an NPI enumerated 2006-05-24 (~20 years ago) and lifetime Medicare revenue of $487.4K. There is no Medicaid billing on file, so the provider operates effectively as a single-payer (Medicare) practitioner in the available claims data.

Revenue is highly concentrated in a small number of services: the precomputed top 3 Medicare codes account for 79.6% of total Medicare revenue, driven overwhelmingly by J2357 which alone represents $317.3K (65.2% of Medicare revenue). That concentration indicates the practice’s financial performance is closely tied to a single high-revenue treatment line.

The code mix indicates a clinical focus on allergy/immunology procedures dominated by biologic therapy and immunotherapy operations: J2357 (omalizumab injection) is the largest revenue source, while 95165 (mixing/preparing antigens, $47K) and multiple injection/testing codes (95117, 95115, 95004, 95024) show high-volume allergy testing and desensitization activity. This pattern is consistent with an allergy clinic that centers on regular, clinic-administered injections and serial allergy testing rather than predominantly E/M office visits.

Competitive standing on the top biologic line is moderate nationally: J2357 ranks #77 of 581 providers nationally (87th percentile; typical, unremarkable volume for this code), so while the provider is above many peers in raw rank for this code, payor-level volumes are characterized in the source as typical rather than dominant. 95165 ranks #244 of 3250 providers nationally (93th percentile; typical, unremarkable volume for this code), reinforcing a solid but not exceptional position on antigen preparation nationally.

Several allergy-testing and injection codes are either high-volume or flagged as above-typical: 95004 ($17K) ranks #206 of 3634 (94th percentile; typical, unremarkable volume), 95024 ($11.9K) ranks #66 of 1816 (96th percentile; notably above typical national volume for this code), and 95117 ($14.7K) ranks #222 of 4051 (95th percentile; notably above typical national volume for this code). These high percentiles suggest substantial throughput for skin testing and multivalent injection visits compared with national peers.

Office evaluation-and-management (E/M) visits make up a small share of Medicare revenue relative to therapeutics: 99214 contributes $22.9K (4.7% of Medicare revenue) and ranks #113544 of 479517 (76th percentile; typical, unremarkable volume for this code). Lower-level and new-patient E/M codes (99213, 99204, 99203, 99205) are present but represent modest revenue slices, indicating the practice likely bills more for procedure-based care than for visit-based care.

The practice shows some procedural breadth beyond injections and testing: 31231 (nasal endoscopy) contributes $10.5K (2.2% of Medicare revenue) and 30801 (inferior turbinate ablation) contributes $4.4K (0.9% of Medicare revenue), indicating capability to provide limited ENT procedural services in-office or in an outpatient setting. Both codes are minor contributors compared with J2357 but demonstrate ancillary procedural offerings that expand service lines beyond immunotherapy.

From a payer-mix and contracting perspective, the lack of any Medicaid billing on file means Medicare is the sole documented public payer exposure in this dataset, which could shape referral patterns, patient demographics, and reimbursement risk; absence of Medicaid also limits conclusions about in-state competitive standing against Medicaid-heavy practices. Given the heavy dependence on J2357 and related allergy injections, any changes in coverage or utilization of that therapy would likely have outsized financial impact on this provider’s Medicare revenue.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	10,580	$30	$317.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4,700	$10	$47K
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…	270	$90	$22.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	5,660	$1	$17K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1,830	$10	$14.7K
95024	The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.	1,980	$10	$11.9K
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…	110	$110	$11.8K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	80	$140	$10.5K
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…	130	$60	$7.1K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	980	$10	$5.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Richard Wachs — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2357	1	10	5,830	$30	$176.1K
95165	2	20	1,440	$10	$22.1K
99214	492	2,700	90	$70	$12.9K
99215	526	960	40	$110	$7.8K
99213	763	2,440	60	$50	$7.3K
95117	7	30	300	$10	$6.8K
30801	2	10	30	$150	$5.1K
31231	5	30	40	$100	$4.6K
99204	106	1,210	30	$100	$4.5K
95004	1	20	1,230	$1	$4.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Breatheamerica Albuquerque, Inc.	NM	Allergy Physician	$0	$4.2M
Christopher Thompson	TX	Otolaryngology Physician	$588.5K	$0
Stacy Silvers	TX	Allergy & Immunology Physician	$313.1K	$0
Lily Love	NM	Otolaryngology Physician	$101.2K	$0
Roland Gerencer	FL	Otolaryngology Physician	$92.3K	$0
Kevin Bright	TX	Otolaryngology Physician	$36K	$0
Teresa Jenkins-mccord	NM	Allergy & Immunology Physician	$19.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M

Richard Wachs — 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