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RICHARD, PAULMD NPI 1689806465 Clinician

Neurosurgery · NAPLES, FL

Specialty Neurosurgery — from billed Medicare claims
Trained TULANE UNIVERSITY SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 18 years since medical school (class of 2008, self-reported to CMS)
Location NAPLES, FL · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 29 codes billed · 1,761 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
NEUROSCIENCE AND SPINE ASSOCIATES PL
2019–2026
THE MOORINGS INCORPORATED
2025
PHYSIOTHERAPY ASSOCIATES INC
2024
THE MOORINGS INCORPORATED
2021

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2022-10

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
72082 X-ray of entire middle and lower spine, 2-3 views
73590 X-ray of lower leg, 2 views
73521 X-ray of both hips, 2 views
73560 X-ray of knee, 1-2 views
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
75898 Imaging of blood vessel
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
22514 Treatment of broken lower spine bone with placement of stabilizing device
22558 Fusion of lower spine bone through abdomen with partial removal of disc
61783 Computer-assisted spinal procedure
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
61624 Occlusion of central nervous system or spinal cord artery
72040 X-ray of upper spine, 2-3 views
22612 Fusion of spine in lower back
36217 Insertion of tube into chest or arm artery, initial third order branch
75894 Review by radiologist of image for insertion of material to block blood flow
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
22840 Placement of stabilizing device to back of 1 spine bone in neck
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc
22842 Placement of stabilizing device to back, 3-6 spine bone segments
22845 Placement of stabilizing device to front, 2-3 spine bone segments

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.