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

    NPI 1700996188 · Ironton, OH · Podiatrist

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    Richard Saxby is a podiatrist provider located in Ironton, Ohio. This profile covers 13 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Saxby
    Address2004 South 4th Street
    CityIronton
    StateOH
    ZIP45638
    TaxonomyPodiatrist
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$83.4K
    Medicaid$9.7K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,440$30$41.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…410$40$14.7K
    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…140$60$8.8K
    99203The provider sees a new 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 provider…100$70$7.1K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.140$20$3K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.40$60$2.7K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…40$60$2.2K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…30$30$990
    G0127Trimming of dystrophic nails, any number60$20$930
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…20$30$600

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1172118660330$30$12.9K
    992135,29920,00070$50$6.6K
    11720156340120$20$5.9K
    G012787130120$10$4.1K
    993048017030$60$3.6K
    9930731940060$30$3.1K
    992035636,38030$60$2.9K
    9934710019040$30$2.6K
    11730139020$80$2.3K
    99212294,10030$30$1.7K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.720$10$8K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.40$30$1.3K
    11732The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.10$20$230

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.210460620$10$28K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.173060$30$4.2K
    11732The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.51050$1$390

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Brian LandrumOHOptometrist$886.1K$11.1K
    Idowu AwosikaKYOptometrist$30.6K$546.1K
    Nicholas FlebotteOHOptometrist$372.7K$400
    Eric BeattyILPodiatrist$243.9K$0
    William MetzgerKYOptometrist$194.5K$43K
    Stephen KovachOHPodiatrist$223.1K$0
    Meaghan ClarkOHOptometrist$211.4K$2.4K
    Deborah GerbetzOHOptometrist$212.4K$0
    Jon EngleOHOptometrist$147.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mended Reeds Services, Inc.OHCommunity/Behavioral Health Agency$0$40.5M
    Phoenix Center, Inc.OHSubstance Use Disorder Rehabilitation Clinic/Center$0$29.1M
    Lawrence County Recovery, LLCOHCommunity/Behavioral Health Agency$0$19.1M
    Land Of Goshen Treatment Center, IncOHSubstance Abuse Rehabilitation Facility$0$11.1M
    Ironton & Lawrence County Area Community Action OrganizationOHFederally Qualified Health Center (FQHC)$0$9.7M
    Bethesda Services LLCOHAddiction (Substance Use Disorder) Counselor$0$7.1M
    Patriot Emergency Medical ServicesOHLand Ambulance$2.2M$4M
    Lawrence CountyOHLand Ambulance$957K$3.5M
    Idox3 LLCOHAmbulatory Surgical Clinic/Center$1.3M$1.4M
    James JankowskiOHOptometrist$138.5K$70.8K

    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. Ohio Distribution
    Richard Saxby — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Richard Saxby — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio