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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRichard Kershen
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    Richard Kershen — Billing Profile & Reimbursement Data

    NPI 1972527158 · Hartford, CT · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician

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    Richard Kershen is a urogynecology and reconstructive pelvic surgery (urology) physician provider located in Hartford, Connecticut. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Kershen
    Address85 Seymour Street, Suite 416
    CityHartford
    StateCT
    ZIP06106
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
    NPI EnumeratedJuly 27, 2006

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

    Payer SourceTotal Paid
    Medicare$156.3K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit10,800$10$54K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…60$340$21.6K
    99214The 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…150$100$15.9K
    99215The 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…110$140$15.2K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…50$310$14.8K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…80$180$14.6K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.50$170$7.8K
    99205The 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…20$160$2.8K
    51705In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.40$70$2.5K
    51600Voiding cystourethrogram (VCUG) is also known as micturating cystourethrogram (MCUG). This is a technique which is performed to detect reflux by watching a person's urethra and urinary bladder during…20$90$1.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058523606,710$1$47.6K
    992142,1596,48090$90$14.2K
    520004511070$170$11.7K
    5172842020$300$8.9K
    5228722020$320$7.9K
    992151901,84030$130$6.7K
    5179773020$140$4.9K
    9920547180020$160$4.6K
    5170561040$70$3.3K
    5179841130120$10$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartford HospitalCTGeneral Acute Care Hospital$0$316.3M
    Hartford Healthcare Medical Group Specialists, PLLCCTSurgery Physician$0$46M
    Hartford HospitalCTSurgery Physician$0$27.5M
    Hartford Healthcare Medical Group, IncCTSurgery Physician$0$22.4M
    Inhouse Care LLCCTPrimary Care Clinic/Center$0$3.4M
    Philip SimkovitzCTCritical Care Medicine (Internal Medicine) Physician$589.2K$506K
    Pouyan ChangizzadehCTHematology & Oncology Physician$1.1M$0
    Nikia BrayCTFamily Nurse Practitioner$58.9K$557K
    Rabindranath MahabirCTInternal Medicine Physician$166.9K$299.3K
    Shirley WuRIEmergency Medicine Physician$48.1K$392.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connecticut Children's Medical CenterCTChildren's Hospital$0$248.8M
    Hartford DispensaryCTSubstance Use Disorder Rehabilitation Clinic/Center$1.6M$122.8M
    Connecticut Children's Specialty Group, Inc.CTPediatrics Physician$0$59.8M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$42.5M
    Hartford DispensaryCTMental Health Clinic/Center (Including Community Mental Health Center)$0$26.1M
    Aetna Ambulance Service, IncCTLand Ambulance$2.9M$22.2M
    Home Care Vna, LLCCTHome Health Agency$0$12.4M
    Connecticut Gi PLLCCTGastroenterology Physician$0$12M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$8M
    Dierks Dialysis LLCCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Richard Kershen — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut