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

    NPI 1801843818 · Grand Rapids, MI · Clinical Psychologist

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    Richard Vaughn is a clinical psychologist provider located in Grand Rapids, Michigan. This profile covers 7 Medicare and 2 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 Vaughn
    Address2494 Highridge Ln Se
    CityGrand Rapids
    StateMI
    ZIP49546
    TaxonomyClinical Psychologist
    NPI EnumeratedMay 27, 2006

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

    Payer SourceTotal Paid
    Medicare$49.2K
    Medicaid$29K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.150$140$20.8K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…260$80$19.1K
    96121A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for each additional hour of face–to–face…50$60$3K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…40$70$2.8K
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…20$80$1.7K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…20$100$1.6K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.10$10$170

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9083454410100$60$9.3K
    96133859090$70$8.8K
    961328310040$90$4.6K
    907912042020$110$4.6K
    96116439040$70$3.9K
    9612182020$60$3.3K
    90785718090$10$2.1K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…460$50$21.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.110$60$7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…519950610$80$328.2K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.417780140$190$192.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ronald GordineerOHPsychiatry Physician$229.9K$1.6M
    Nagy KheirMIPsychiatry Physician$399.3K$2.8K
    Carl AlsterbergMIClinical Psychologist$345.3K$0
    Shuju WangMIMedical Physician Assistant$279.3K$0
    Ren DuarteILPsychologist$87.5K$118.9K
    Theodore RuzaMIPsychiatry Physician$179.8K$0
    Christine MaximMIFamily Nurse Practitioner$176.7K$0
    Kelly BarkleyMIPsychiatric/Mental Health Nurse Practitioner$159.2K$0
    Jaime EddyMIGerontology Nurse Practitioner$148.8K$0
    Ashley FieldsMIFamily Nurse Practitioner$148.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliance Community Care PartnersMICase Management Agency$0$145.4M
    Dental Group Associates PCMIPediatric Dentistry$0$16.1M
    Pediatric Dental Specialists Of West MichiganMIPediatric Dentistry$0$11M
    Michigan Pain Consultants PCMIPain Medicine (Anesthesiology) Physician$0$9.9M
    Mitten Kids Dentistry Cascade PlcMIPediatric Dentistry$0$7.2M
    Carepoint Dental Anesthesia Group Of Michigan, PLLCMIDental Anesthesiology$0$6.4M
    Retina Specialists Of Michigan PCMIRetina Specialist (Ophthalmology) Physician$0$5.5M
    Kathleen DehornMIOphthalmology Physician$1.7M$0
    Jeffrey ZheutlinMIOphthalmology Physician$1.5M$0
    Nathan PezdaMIRetina Specialist (Ophthalmology) Physician$1.1M$0

    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. Michigan Distribution
    Richard Vaughn — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Richard Vaughn — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan