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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Diethelm (NPI 1851518476)

Field	Value
Entity Type	Individual
Organization	Richard Diethelm
Address	48 Medical Park Dr E
City	Birmingham
State	AL
ZIP	35235
Taxonomy	Neurology Physician
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicare	$325K
Medicaid	$0

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	36,340	$10	$181.7K
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…	550	$70	$39.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	180	$140	$26.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	200	$130	$25.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$60	$12K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	120	$100	$11.8K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	60	$180	$11.7K
64616	The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…	50	$90	$4.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$100	$2.7K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Richard Diethelm — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	1	40	9,210	$1	$53.5K
99214	685	7,330	120	$80	$16.8K
99232	769	2,530	100	$60	$13.3K
95819	19	50	50	$170	$13K
99215	847	1,710	40	$110	$8.1K
99223	129	2,140	40	$130	$8.1K
99213	4,749	6,470	80	$50	$7.9K
64616	6	10	40	$120	$7.3K
99483	5	20	30	$130	$6.7K
64615	2	20	60	$100	$6.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Sykes	CO	Neurology Physician	$97.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Beacon Healthcare Group, LLC	AL	Community Based Hospice Care Agency	$0	$5.6M
St. Vincent's East	AL	General Acute Care Hospital	$0	$3M
Tots 'n' Teens Pediatrics, P.C.	AL	Pediatrics Physician	$0	$2.9M
Preferred Pain Associates Of Alabama, P.C.	AL	Pain Medicine (Anesthesiology) Physician	$0	$2.8M
Small Steps Pediatrics, PC	AL	Pediatrics Physician	$0	$1.6M
Dr. Michael Vann & Associates, Inc	AL	Pediatric Dentistry	$0	$1.4M
Outpatient Services East	AL	Ambulatory Surgical Clinic/Center	$1.1M	$230
Mario Maruthur	AL	Dermatology Physician	$1.1M	$0
Oasis Healthcare, Inc.	AL	Community Based Hospice Care Agency	$0	$975.6K
Visionfirst Eye Center, Inc	AL	Ophthalmology Physician	$0	$904.8K

Richard Diethelm — Billing Profile & Reimbursement Data

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Richard Diethelm — 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