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    OpenPayerNPI Medicare & MedicaidRichard Pearlman
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    Richard Pearlman — Billing Profile & Reimbursement Data

    NPI 1639526874 · Florence, AL · Radiation Oncology Physician

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    Richard Pearlman is a radiation oncology physician provider located in Florence, Alabama. This profile covers 27 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
    OrganizationRichard Pearlman
    Address180 Cox Creek Pkwy S Ste A
    CityFlorence
    StateAL
    ZIP35630
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 18, 2016

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing practice: Total Medicare revenue is $1.4M and Total Medicaid revenue is none (no Medicaid billing on file). That concentration makes the practice highly dependent on Medicare reimbursement and exposes overall revenues to Medicare policy or utilization changes.

    Revenue is highly concentrated in a few high-return procedural codes: the precomputed top‑3 Medicare codes account for 53.3% of total Medicare revenue, with G6015 alone representing 32.3% ($440.3K), 77014 representing 11.3% ($153.4K), and G0340 representing 9.7% ($132.8K). This concentration indicates the bulk of income derives from radiotherapy delivery and image‑guided stereotactic services rather than routine E/M visits.

    The code mix and volumes identify a radiation oncology operations profile centered on high-volume treatment delivery and advanced radiotherapy techniques: G6015 shows 1.8K claims while 77014 also shows 1.8K claims, and IMRT planning/delivery codes such as 77301 (92 claims) and 77334 (351 claims) are in the top revenue list. Combined with image‑guided stereotactic codes G0340 (77 claims) and G0339 (26 claims), the data indicate the practice delivers frequent fractionated treatments and supports specialized stereotactic courses.

    Competitive standing is mixed across procedures: the provider ranks in the 91th percentile nationally for G6015 (rank #123 of 1429) which the dataset labels as typical/unremarkable volume for that code, while ranking notably above typical national volume for several planning and therapy support codes (for example, 77014 at the 96th percentile, 77427 at the 97th percentile, and 77334 at the 95th percentile). In sum, the provider is not a dominant national leader across all radiation oncology services but is a clearly above‑peer performer on a set of planning/support and some delivery codes.

    Several codes stand out as statistical outliers or unusually concentrated relative to peers, consistent with the provided labels: 77014 (96th percentile; notably above typical national volume), 77427 (97th percentile; notably above typical national volume), 77334 (95th percentile; notably above typical national volume), 77336 (93th percentile; notably above typical national volume), 77263 (95th percentile; notably above typical national volume), 77293 (94th percentile; notably above typical national volume), and 77417 (97th percentile; notably above typical national volume). These flags suggest a stronger-than-typical throughput in planning, dosimetry, physics consultation, and port‑film activity relative to national peers.

    High‑unit‑value stereotactic codes contribute meaningfully despite lower claim counts: G0340 averages $1725 paid/claim for 77 claims and accounts for $132.8K (9.7% of Medicare revenue), while G0339 averages $2266 paid/claim for 26 claims and accounts for $58.9K (4.3% of Medicare revenue). This pattern shows the practice combines high-frequency delivery codes with lower-frequency, higher‑paid specialized SRS fractions, which can materially shape revenue without large claim volumes.

    The provider has an established billing tenure: NPI enumerated 2016-05-18 (~10 years ago), indicating roughly a decade of Medicare participation and likely stable operational presence in Florence, AL. That tenure, together with concentrated Medicare revenue and above‑typical volumes on planning/support codes, points to an established local provider specializing in radiation delivery and treatment planning.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,750$250$440.3K
    77014N/A1,780$90$153.4K
    G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through…80$1,730$132.8K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…90$1,300$120K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev510$160$84K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…550$140$77.8K
    G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev370$160$60.4K
    G0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment30$2,270$58.9K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…570$60$34.3K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.350$90$31.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015440600$250$178.4K
    G034011080$1,720$132.8K
    77280155040$180$61.8K
    G033911030$2,270$58.9K
    G6012420280$160$57.4K
    77014660440$70$43.2K
    7730146030$790$32.3K
    77427770150$140$30.5K
    G6013210150$160$26.2K
    992147,2447,330120$80$16.8K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John WaplesALMedical Oncology Physician$9.6M$0
    Marshall SchreederALMedical Oncology Physician$3.5M$0
    Heather BrodyALHematology & Oncology Physician$3.1M$0
    Jorge DiazALHematology & Oncology Physician$2.6M$0
    Naveen LoboALMedical Oncology Physician$2.4M$0
    Ali HachemALHematology & Oncology Physician$2.3M$0
    Daniel SchreederALHematology & Oncology Physician$2.3M$0
    Robert ConryALHematology & Oncology Physician$2.1M$0
    Lakshmikanth KatragaddaALHematology & Oncology Physician$2.1M$0
    Oncology Specialties, P.C.ALHematology & Oncology Physician$0$2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Infants And Childrens Clinic PCALPediatrics Physician$0$8.7M
    Shoals Pediatric Group PCALPediatrics Physician$0$4.4M
    Pinnacle Medical Solutions LLCALDurable Medical Equipment & Medical Supplies$0$4.4M
    Stepping Stone Pediatric Therapy, Inc.ALOccupational Therapist$0$4.1M
    Lifeguard Ambulance Service LLCALLand Ambulance$1.9M$1.6M
    Rchp - Florence LLCALGeneral Acute Care Hospital$0$3.4M
    Alahealth, Inc.ALCase Management Agency$0$3.2M
    Shoals Pediatric Dentistry, P.C.ALPediatric Dentistry$0$3.1M
    Shoals Hospice LLCALCommunity Based Hospice Care Agency$0$3M
    The Pediatric Dental ClinicALPediatric Dentistry$0$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. Alabama Distribution
    Richard Pearlman — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama