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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Kareha (NPI 1699870907)

Field	Value
Entity Type	Individual
Organization	Richard Kareha
Address	8601 West Chester Pike
City	Upper Darby
State	PA
ZIP	19082
Taxonomy	Optometrist
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicare	$13.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$100	$8.3K
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…	30	$70	$2.3K
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	70	$30	$1.9K
76514	The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.	80	$10	$600
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	20	$20	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Richard Kareha — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,974	23,230	100	$80	$14.5K
99213	16,010	22,370	70	$60	$7.7K
92081	9	30	50	$20	$1.7K
92020	277	430	40	$20	$1.7K
76514	61	460	30	$10	$320

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fredric Smilen	CT	Optometrist	$34.3K	$1.9M
Jon Peet	PA	Ophthalmology Physician	$849.8K	$0
Douglass Fruin	IL	Optometrist	$174.1K	$373.3K
Liann Griffiths	CA	Optometrist	$439.1K	$0
Huy Pham	NE	Optometrist	$2.6K	$393.8K
Nicholas Flebotte	OH	Optometrist	$372.7K	$400
National Vision, Inc.	GA	Optometrist	$0	$322.8K
Mark Yates	AZ	Optometrist	$308.9K	$13.1K
Jilda Long	VA	Optometrist	$314.3K	$3.1K
Nadia Roshan	UT	Occupational Vision Optometrist	$0	$316.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Health Services Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.8M
Delaware County Department Of Human Services	PA	Case Management Agency	$0	$25.7M
Holcomb Associates, Inc.	PA	Clinic/Center	$0	$20.1M
Everest Urgent Care	PA	Urgent Care Clinic/Center	$0	$17.7M
Care First Nursing	PA	Home Health Agency	$0	$16.5M
Michael Thevar	PA	Mental Health Counselor	$0	$13.3M
Successful Aging Care Net Inc	PA	Home Health Agency	$0	$11.1M
Greater Homecare Services Inc.	PA	In Home Supportive Care Agency	$0	$8.1M
Augie Wallace	PA	Home Health Aide	$0	$6.9M
Harwood House	PA	Substance Abuse Rehabilitation Facility	$0	$6.3M

Richard Kareha — Billing Profile & Reimbursement Data

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Richard Kareha — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References