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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Richard Daniels
๐Ÿ”ช
MDIndividual

Richard Daniels, MD

NPI: 1417905043
Toms River, NJ
10 years of data
Vascular Surgery
$5.3M
Total Payments
16.4K
Beneficiaries
19.0K
Services
3.84x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.3M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $5.3M over 10 years
23.84x markup ratio (above median)
398th percentile in Vascular Surgery by payments
4Payments surged 456% in 2019
514 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.3M in total Medicare payments ranks in the 98th percentile of Vascular Surgery providers nationally.

Medicare payments to this provider grew 508% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 456% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$849.19$160.265.30x$688.93$136.0K1.4K1.3K
2015$1.9K$698.962.72x$1.2K$339.8K1.9K1.8K
2016$937.83$225.424.16x$712.41$141.6K2.0K1.9K
2017$539.25$141.893.80x$397.36$80.3K1.7K1.5K
2018$1.2K$411.892.98x$817.01$203.8K1.8K1.7K
2019$2.4K$748.203.21x$1.7K$1.1M2.7K2.2K
2020$3.3K$974.723.41x$2.4K$1.3M2.8K2.1K
2021$2.0K$363.595.47x$1.6K$329.1K1.4K1.3K
2022$4.5K$920.234.87x$3.6K$801.1K1.3K1.1K
2023$4.9K$968.875.07x$3.9K$826.6K1.9K1.6K

Top Procedures (20)

37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedureโš  3.3x markup
$1.0M
124 services$8.2K/svc3.31x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation
$889.3K
759 services$1.2K/svc2.70x markup
37229Removal of plaque in artery of leg, initial vessel
$586.7K
68 services$8.6K/svc2.91x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatmentโš  3.5x markup
$430.4K
402 services$1.1K/svc3.48x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  3.3x markup
$305.9K
4.5K services$67.74/svc3.34x markup
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation
$173.3K
79 services$2.2K/svc2.56x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretationโš  4.0x markup
$150.0K
47 services$3.2K/svc3.98x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skinโš  5.1x markup
$148.6K
142 services$1.0K/svc5.12x markup
36247Insertion of catheter into abdominal pelvic or leg arteryโš  4.5x markup
$136.2K
132 services$1.0K/svc4.49x markup
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation
$132.2K
27 services$4.9K/svc2.93x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  7.8x markup
$119.8K
2.3K services$51.69/svc7.81x markup
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretationโš  3.3x markup
$119.1K
21 services$5.7K/svc3.27x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation
$112.6K
183 services$615.04/svc2.36x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation
$107.0K
167 services$640.45/svc2.84x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skinโš  15.6x markup
$90.6K
188 services$481.87/svc15.57x markup
36011Insertion of catheter into veinโš  4.5x markup
$80.4K
139 services$578.37/svc4.51x markup
36215Insertion of catheter into chest or arm arteryโš  6.3x markup
$79.7K
162 services$491.89/svc6.34x markup
36147Insertion of needle and/or catheter for dialysisโš  4.3x markup
$74.4K
172 services$432.29/svc4.25x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuversโš  5.4x markup
$57.9K
1.1K services$54.56/svc5.38x markup
37253Ultrasound evaluation of blood vessel during diagnosis or treatmentโš  3.8x markup
$55.5K
322 services$172.44/svc3.80x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure124$1.0M$8.2K3.31x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation759$889.3K$1.2K2.70x
37229Removal of plaque in artery of leg, initial vessel68$586.7K$8.6K2.91x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment402$430.4K$1.1K3.48x
93925Ultrasound study of arteries and arterial grafts of both legs4.5K$305.9K$67.743.34x
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation79$173.3K$2.2K2.56x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation47$150.0K$3.2K3.98x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin142$148.6K$1.0K5.12x
36247Insertion of catheter into abdominal pelvic or leg artery132$136.2K$1.0K4.49x
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation27$132.2K$4.9K2.93x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.3K$119.8K$51.697.81x
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation21$119.1K$5.7K3.27x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation183$112.6K$615.042.36x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation167$107.0K$640.452.84x
36475Destruction of insufficient vein of arm or leg, accessed through the skin188$90.6K$481.8715.57x
36011Insertion of catheter into vein139$80.4K$578.374.51x
36215Insertion of catheter into chest or arm artery162$79.7K$491.896.34x
36147Insertion of needle and/or catheter for dialysis172$74.4K$432.294.25x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1.1K$57.9K$54.565.38x
37253Ultrasound evaluation of blood vessel during diagnosis or treatment322$55.5K$172.443.80x

Markup Analysis

Charge-to-Payment Ratio

3.84x

This provider submits charges 3.84 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.84x means for every $100 Medicare pays, this provider initially charges $384. This is higher than the national average.

Location

Toms River, NJ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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