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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 Card (NPI 1861668980)

Field	Value
Entity Type	Individual
Organization	Richard Card
Address	6051 Belspring Rd
City	Fairlawn
State	VA
ZIP	24141
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 8, 2008

Payer Source	Total Paid
Medicare	$307.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

32 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…	1,340	$80	$109.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	480	$130	$60.1K
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…	590	$60	$34.9K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	800	$30	$23.9K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	440	$40	$16.2K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	340	$40	$13.2K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	60	$210	$12.7K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	40	$160	$6.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$40	$5.2K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	50	$90	$4.3K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Richard Card — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	170	12,890	140	$80	$21K
99490	239	510	130	$50	$15.5K
G0439	50	2,960	80	$120	$14.7K
99454	65	210	220	$40	$13.6K
99457	40	220	220	$40	$10.3K
99213	592	12,440	90	$60	$10K
20610	783	1,160	60	$50	$6.1K
99204	3,992	6,850	40	$110	$5.9K
99496	29	560	20	$190	$5.1K
99458	2	150	90	$30	$4.6K

Showing 1–10 of 32

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pyramid Healthcare, Inc.	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.7M
Sudhendu Choubey	VA	Cardiovascular Disease Physician	$441.2K	$10.4K
Daniel Kelly	VA	Family Medicine Physician	$189.7K	$570
Kenneth Gray	VA	Orthopaedic Surgery Physician	$173.5K	$3.5K
Jennifer Nelson	VA	Otolaryngology Physician	$66K	$0
Joanne Dillon	VA	Audiologist-Hearing Aid Fitter	$11.3K	$0

Richard Card — Billing Profile & Reimbursement Data

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Richard Card — 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