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    OpenPayerNPI Medicare & MedicaidDaniel Richardson
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    Daniel Richardson — Billing Profile & Reimbursement Data

    NPI 1639411887 · Charleston, WV · Retina Specialist (Ophthalmology) Physician

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    Daniel Richardson is a retina specialist (ophthalmology) physician provider located in Charleston, West Virginia. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Richardson
    Address333 Laidley St Ste 208
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 25, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,420$680$1.6M
    J2777Injection, faricimab‑svoa, 0.1 mg15,600$30$436.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,590$80$129.1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,590$30$72.6K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…550$70$40.4K
    J2778Injection, ranibizumab, 0.1 mg220$180$39.3K
    99213The 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…570$60$36K
    J3490Unclassified drugs20$2,020$32.3K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…20$860$13.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$90$13K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017831102,090$690$1.7M
    J277766108,490$30$456.6K
    670286610770$80$94.4K
    J34901811040$1,970$77K
    J27789910370$180$74.3K
    92014436180120$70$16.3K
    9921416,1522,740100$70$11.8K
    67042751010$830$11.6K
    J903551090$50$9.3K
    92235701070$90$9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abraham MitiasWVRetina Specialist (Ophthalmology) Physician$3.7M$0
    Harold BrooksFLOphthalmology Physician$3.2M$0
    Charles NewellFLOphthalmology Physician$2.5M$0
    Scott JamersonWVRetina Specialist (Ophthalmology) Physician$2.4M$0
    Robert SteinmetzFLOphthalmology Physician$2.4M$0
    Richard HatfieldWVRetina Specialist (Ophthalmology) Physician$2.2M$0
    David HuntWVRetina Specialist (Ophthalmology) Physician$2.1M$0
    Nicholas FarberFLOphthalmology Physician$2M$0
    Christopher WillinghamFLOphthalmology Physician$1.9M$70
    Emily AshmoreFLOphthalmology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Daniel Richardson — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia