Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $224 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
1,064
Rank: 9th
out of 280 providers in this state & specialty
Services
Performed
1,683
Rank: 70th
out of 280 providers in this state & specialty
Avg Services
Per Patient
1.6 This Provider
Avg 2.6
Total Paid
by Medicare
$321K
Rank: 5th
out of 280 providers in this state & specialty
Avg Paid
Per Patient
$301 This Provider
Avg $224

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 50 different services in 2015
(25 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in an office
273
times performed,
16% of his services

1st 21st

most performed service for this provider most performed service in this state & specialty

273
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$341,250.00an average of $1,250.00 per time performed $109,096.26
an average of $399.62 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in a facility
139
times performed,
8% of his services

2nd 4th

most performed service for this provider most performed service in this state & specialty

135
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$69,917.00an average of $503.00 per time performed $10,349.94
an average of $74.46 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in a facility
127
times performed,
8% of his services

3rd 7th

most performed service for this provider most performed service in this state & specialty

127
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$104,118.41an average of $819.83 per time performed $27,552.65
an average of $216.95 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
125
times performed,
7% of his services

4th 8th

most performed service for this provider most performed service in this state & specialty

96
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$7,875.00an average of $63.00 per time performed $3,793.75
an average of $30.35 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in an office
116
times performed,
7% of his services

5th 23rd

most performed service for this provider most performed service in this state & specialty

114
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$127,600.00an average of $1,100.00 per time performed $27,465.32
an average of $236.77 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
116
times performed,
7% of his services

6th 3rd

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$20,300.00an average of $175.00 per time performed $8,693.04
an average of $74.94 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
82
times performed,
5% of his services

7th 1st

most performed service for this provider most performed service in this state & specialty

75
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$9,840.00an average of $120.00 per time performed $4,150.84
an average of $50.62 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual at... +

Colorectal cancer screening; colonoscopy on individual at high risk ×

Service Code: G0105
Performed in an office
67
times performed,
4% of his services

8th 38th

most performed service for this provider most performed service in this state & specialty

67
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$77,050.00an average of $1,150.00 per time performed $24,769.23
an average of $369.69 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in an office
59
times performed,
4% of his services

9th 24th

most performed service for this provider most performed service in this state & specialty

59
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$67,850.00an average of $1,150.00 per time performed $11,917.41
an average of $201.99 per time performed
medical
DIGESTIVE SYSTEM

Insertion of guide wire with dilation of esophagus using ... +

Insertion of guide wire with dilation of esophagus using an endoscope ×

Service Code: 43248
Performed in an office
48
times performed,
3% of his services

10th 62nd

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,680.00an average of $910.00 per time performed $15,249.12
an average of $317.69 per time performed
medical
DIGESTIVE SYSTEM

Insertion of guide wire with dilation of esophagus using ... +

Insertion of guide wire with dilation of esophagus using an endoscope ×

Service Code: 43248
Performed in a facility
46
times performed,
3% of his services

11th 32nd

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,930.00an average of $455.00 per time performed $5,769.78
an average of $125.43 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of esophagus, stomach, and/or uppe... +

Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43235
Performed in a facility
42
times performed,
2% of his services

12th 13th

most performed service for this provider most performed service in this state & specialty

41
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,485.00an average of $392.50 per time performed $4,166.82
an average of $99.21 per time performed
medical
DIGESTIVE SYSTEM

Injections of large bowel using an endoscope

Service Code: 45381
Performed in an office
39
times performed,
2% of his services

13th 91st

most performed service for this provider most performed service in this state & specialty

39
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$42,900.00an average of $1,100.00 per time performed $2,348.58
an average of $60.22 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
37
times performed,
2% of his services

14th 5th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,493.00an average of $689.00 per time performed $4,464.05
an average of $120.65 per time performed
medical
MEDICINE

Measurement of hydrogen in breath to test for gi symptoms +

Measurement of hydrogen in breath to test for gi symptoms ×

Service Code: 91065
Performed in an office
37
times performed,
2% of his services

15th 74th

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$6,475.00an average of $175.00 per time performed $2,194.84
an average of $59.32 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual no... +

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ×

Service Code: G0121
Performed in an office
35
times performed,
2% of his services

16th 40th

most performed service for this provider most performed service in this state & specialty

35
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,250.00an average of $1,150.00 per time performed $13,004.95
an average of $371.57 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of large bowel using an endoscope +

Diagnostic examination of large bowel using an endoscope ×

Service Code: 45378
Performed in an office
21
times performed,
1% of his services

17th 34th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,150.00an average of $1,150.00 per time performed $6,008.52
an average of $286.12 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual at... +

Colorectal cancer screening; colonoscopy on individual at high risk ×

Service Code: G0105
Performed in a facility
19
times performed,
1% of his services

18th 22nd

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,868.00an average of $572.00 per time performed $3,892.53
an average of $204.87 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of large bowel using an endoscope +

Diagnostic examination of large bowel using an endoscope ×

Service Code: 45378
Performed in a facility
19
times performed,
1% of his services

19th 12th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,868.00an average of $572.00 per time performed $3,150.77
an average of $165.83 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
18
times performed,
1% of his services

20th 9th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,240.00an average of $180.00 per time performed $1,518.30
an average of $84.35 per time performed
medical
DIGESTIVE SYSTEM

Control of bleeding of esophagus, stomach, and/or upper s... +

Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43255
Performed in a facility
18
times performed,
1% of his services

21st 56th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$13,750.92an average of $763.94 per time performed $2,756.88
an average of $153.16 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
17
times performed,
1% of his services

22nd 25th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,686.00an average of $158.00 per time performed $1,305.09
an average of $76.77 per time performed
medical
DIGESTIVE SYSTEM

Injections of large bowel using an endoscope

Service Code: 45381
Performed in a facility
16
times performed,
0.95% of his services

23rd 37th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,432.00an average of $652.00 per time performed $362.24
an average of $22.64 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
16
times performed,
0.95% of his services

24th 6th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$1,824.00an average of $114.00 per time performed $863.84
an average of $53.99 per time performed
medical
DIGESTIVE SYSTEM

Control of bleeding in large bowel using an endoscope

Service Code: 45382
Performed in a facility
12
times performed,
0.71% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$11,400.00an average of $950.00 per time performed $2,840.76
an average of $236.73 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Robert Dirom Richards
Average for Gastroenterology Providers in Virginia

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.