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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Bale (NPI 1821100223)

Field	Value
Entity Type	Individual
Organization	Richard Bale
Address	404 W 15th Ave
City	Spokane
State	WA
ZIP	99203
Taxonomy	Family Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$123.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	1,080	$90	$95.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	$130	$17.9K
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…	110	$60	$6.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	180	$10	$1.6K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	20	$30	$660
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	40	$10	$400
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	10	$30	$380
82270	The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…	30	$1	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Richard Bale — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	101	10,860	100	$80	$13.6K
G0439	319	2,390	50	$130	$9.7K
99213	3,036	9,690	60	$60	$6.5K
69210	219	240	50	$30	$2.9K
94060	138	180	50	$20	$1.4K
92567	139	170	80	$10	$1.3K
93000	116	810	30	$10	$890
82270	6	10	30	$1	$120

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Toillion Pediatric Dentistry	WA	Pediatric Dentistry	$0	$6.1M
Aaron M Williams Dds Ms PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.2M
South Hill Pediatric Dentistry	WA	Pediatric Dentistry	$0	$4.1M
Milestones Speech And Lauguage Services	WA	Speech-Language Pathologist	$0	$2.8M
Sarah Briscoe	WA	Family Medicine Physician	$59.3K	$0
Hirohiko Ito	—	Diagnostic Radiology Physician	$57.4K	$0
South Hill Ambulatory Surgical Center Ps	WA	Ambulatory Surgical Clinic/Center	$29.9K	$0
Benjamin Hubbard	WA	Family Medicine Physician	$24.9K	$0

Richard Bale — Billing Profile & Reimbursement Data

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Richard Bale — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References