Providers
ROBERT TIMOTHY RICHARDS, MD
NPI 1518907146, individual, Newark, OH, General Practice
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month, but with up to 868 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($142 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7969, $390K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 27.2 | 27.7 | 18.5 | 25.9 | 868 | 1 | 90791 90832 90833 90834 90837 90853 99213 99214 | $66K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 23.1 | 110.8 | 73.8 | 99.5 | 837 | 1 | 90791 90833 90834 90853 99203 99211 99213 | $37K |
| Sep 2018 | More hours than a day holds at a conservative unit price | 18.1 | 113.7 | 75.8 | 113.7 | 843 | 1 | 90833 90834 90853 99203 99211 99213 | $34K |
| Oct 2018 | More hours than a day holds at a conservative unit price | 19.3 | 147.0 | 98.0 | 132.1 | 877 | 1 | 90833 90853 99203 99211 99213 | $46K |
| Nov 2018 | More hours than a day holds at a conservative unit price | 19.8 | 156.1 | 104.1 | 141.9 | 874 | 1 | 90832 90833 99203 99211 99213 | $46K |
| Dec 2018 | More hours than a day holds at a conservative unit price | 18.2 | 143.3 | 95.5 | 141.0 | 887 | 1 | 90833 99203 99211 99213 | $44K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 24.0 | 24.9 | 16.6 | 22.6 | 1064 | 1 | 90833 90853 99203 99211 99213 | $59K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT TIMOTHY RICHARDS, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 8, 2006, last updated September 24, 2025 |
| Practice location | 974 N 21ST ST, Newark, OH 43055-2990, 833-510-4357 |
| Mailing address | 4600 MONTGOMERY RD STE 400, Cincinnati, OH 45212-2600 |
| Specialties | General Practice (208D00000X, primary, license 35.064391 OH) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.2M | 32% | $78 | $44 (top 5% from $110) | 87th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $805K | 21% | $51 | $49 (top 5% from $109) | 53rd percentile | |
| 82075 | Measurement of alcohol level in breath specimen | $590K | 15% | $39 | $29 (top 5% from $75) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $296K | 8% | $142 | $60 (top 5% from $133) | 96th percentile | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $193K | 5% | $156 | $133 (top 5% from $245) | 67th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $158K | 4% | $65 | $45 (top 5% from $110) | 76th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $99K | 3% | $21 | $16 (top 5% from $128) | 65th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $95K | 2% | $26 | $60 (top 5% from $332) | 20th percentile |
In this area
2 providers in Licking County, OH carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PATASKALA LAND CORPORATION Pataskala, OH, ranked 3168 | $0 |
|
| 3 | CHS - PATASKALA, INC Pataskala, OH, ranked 3461 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.