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Richard G Areen, MD

Otolaryngology · Sacramento

NPI 1609879386

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
49 years
University of Michigan Medical School, 1977

Offices

1 location

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Areen’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$76,753

Medicare paid this office $76,753 for 447 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)247$22,557$65
New patient visit (30+ min)204$14,934$73
Diagnostic exam of voice box using a flexible endoscope49$5,952$106
Comprehensive hearing and speech recognition test144$3,762$26
Exam of ear using a microscope130$3,487$22
See all 11 services
Every Original Medicare service billed
Short return visit (20+ min)247$22,557$65
New patient visit (30+ min)204$14,934$73
Diagnostic exam of voice box using a flexible endoscope49$5,952$106
Comprehensive hearing and speech recognition test144$3,762$26
Exam of ear using a microscope130$3,487$22
Return visit (30+ min)29$3,003$104
Removal of impacted ear wax55$2,832$37
Simple control of nose bleed15$2,331$123
Test to assess middle ear function169$2,062$12
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing42$1,454$33
Test for hearing various pitches using earphone and device placed against the bone32$1,064$33

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Diagnostic exam of voice box using a flexible endoscope1217084505456
Removal of impacted ear wax154112–––76
Simple control of nose bleed1220–111419

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

447 Original Medicare patients in 2024. Average age 76 · Under 65 8% · 85 and older 18% · Women 60% · Also on Medicaid 27% · Health risk score 1.20. Above the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 72% · Diabetes 31% · Coronary heart disease 24% · Chronic kidney disease 22% · COPD 19% · Atrial fibrillation 16% · Heart failure 14% · Cancer 14% · Depression 14% · Stroke 9% · Dementia 6%.

The office billed $320,325, Medicare allowed $110,406 and paid $76,753; for 1,350 services of 29 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20244471,350761.20$320,325$76,753
20234641,514761.13$330,061$81,156
20223691,124750.99$263,133$62,482
20213671,195761.00$318,083$76,859
20203231,009761.02$263,511$59,659
20194041,283751.02$350,547$75,923
20184171,297751.04$369,243$80,285
20175011,483761.08$401,174$95,881
20164551,525751.14$401,455$103,078
20154901,483761.07$363,904$94,402
20145041,577761.00$410,089$106,906
20134811,885751.07$424,442$112,197

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 10 services

Original Medicare services billed in 2023
Short return visit (20+ min)213$20,948$64
New patient visit (30+ min)264$20,762$79
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing108$6,674$39
Comprehensive hearing and speech recognition test199$5,744$28
Diagnostic exam of voice box using a flexible endoscope40$5,591$104
Exam of ear using a microscope115$3,154$23
Test to assess middle ear function212$2,903$13
Return visit (30+ min)27$2,510$90
Simple control of nose bleed11$1,643$117
Test for hearing various pitches using earphone and device placed against the bone31$1,084$35

2022: 10 services

Original Medicare services billed in 2022
Short return visit (20+ min)206$17,529$61
New patient visit (30+ min)169$12,675$75
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing119$6,435$36
Diagnostic exam of voice box using a flexible endoscope38$5,024$100
Comprehensive hearing and speech recognition test132$3,783$28
Return visit (30+ min)26$2,786$100
Test to assess middle ear function133$1,791$13
Simple control of nose bleed11$1,401$127
Exam of ear using a microscope52$1,303$22
Test for hearing various pitches using earphone and device placed against the bone12$374$31

2021: 10 services

Original Medicare services billed in 2021
Short return visit (20+ min)210$21,722$66
New patient visit (30+ min)173$13,285$77
Diagnostic exam of voice box using a flexible endoscope57$9,048$108
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing144$8,693$38
Comprehensive hearing and speech recognition test107$3,141$29
Return visit (30+ min)27$2,716$94
Ct scan of face without contrast13$1,681$120
New patient visit (45+ min)12$1,565$130
Test to assess middle ear function115$1,418$12
Exam of ear using a microscope26$603$22

2020: 10 services

Original Medicare services billed in 2020
Short return visit (20+ min)189$15,814$55
New patient visit (30+ min)150$10,757$72
Diagnostic exam of voice box using a flexible endoscope50$6,403$91
Removal of impacted ear wax86$3,752$33
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing66$2,916$39
Comprehensive hearing and speech recognition test92$2,868$30
Simple control of nose bleed18$2,367$118
Ct scan of face without contrast13$1,410$108
Test to assess middle ear function90$1,231$13
Exam of ear using a microscope11$327$25

2019: 11 services

Original Medicare services billed in 2019
Short return visit (20+ min)199$17,615$59
New patient visit (30+ min)214$15,079$70
Diagnostic exam of voice box using a flexible endoscope85$11,429$94
Removal of impacted ear wax105$5,455$35
Return visit (30+ min)62$4,288$65
Comprehensive hearing and speech recognition test109$3,262$29
Ct scan of face without contrast22$2,680$117
Exam of ear using a microscope60$1,602$21
Simple control of nose bleed12$1,359$113
Test to assess middle ear function109$1,300$12
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing27$1,048$39

2018: 11 services

Original Medicare services billed in 2018
Return visit (30+ min)160$15,786$81
New patient visit (30+ min)205$15,773$77
Diagnostic exam of voice box using a flexible endoscope83$10,856$90
Short return visit (20+ min)140$9,433$50
Removal of impacted ear wax108$4,776$33
Comprehensive hearing and speech recognition test109$3,214$29
Ct scan of face without contrast24$2,642$110
Simple control of nose bleed20$2,521$115
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing37$1,450$39
Exam of ear using a microscope50$1,438$25
Test to assess middle ear function113$1,291$11

2017: 12 services

Original Medicare services billed in 2017
New patient visit (30+ min)248$18,851$76
Short return visit (20+ min)211$15,955$52
Diagnostic exam of voice box using a flexible endoscope104$13,727$91
Return visit (30+ min)126$11,502$77
Removal of impacted ear wax186$9,079$34
Ct scan of face without contrast23$2,298$100
Comprehensive hearing and speech recognition test79$2,231$27
New patient visit (45+ min)15$1,782$119
Simple control of nose bleed17$1,759$76
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing25$950$38
Test to assess middle ear function82$901$11
Exam of ear using a microscope31$767$24

2016: 11 services

Original Medicare services billed in 2016
Return visit (30+ min)174$19,915$79
New patient visit (30+ min)248$18,690$75
Diagnostic exam of voice box using a flexible endoscope93$14,900$94
Short return visit (20+ min)149$12,090$54
Removal of impacted ear wax178$9,250$35
Ct scan of face without contrast28$3,284$117
Comprehensive hearing and speech recognition test82$2,475$28
Simple control of nose bleed14$1,269$71
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing30$1,198$39
Test to assess middle ear function82$1,040$11
Exam of ear using a microscope19$432$22

2015: 11 services

Original Medicare services billed in 2015
Short return visit (20+ min)214$17,182$52
New patient visit (30+ min)218$16,529$76
Diagnostic exam of voice box using a flexible endoscope79$12,455$94
Return visit (30+ min)105$10,692$86
Removal of impacted ear wax206$10,312$36
Comprehensive hearing and speech recognition test91$2,706$29
Ct scan of face without contrast17$1,993$117
Simple control of nose bleed21$1,897$70
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing29$1,182$41
Test to assess middle ear function92$1,116$12
Exam of ear using a microscope11$255$23

2014: 12 services

Original Medicare services billed in 2014
Short return visit (20+ min)291$25,777$57
New patient visit (30+ min)264$21,005$80
Diagnostic exam of voice box using a flexible endoscope98$13,446$93
Removal of impacted ear wax190$10,644$38
Biopsy or removal of nasal polyp or tissue using an endoscope12$6,026$317
Removal of nasal air passage under lining tissue11$5,182$471
Ct scan of face without contrast21$3,181$151
Comprehensive hearing and speech recognition test88$2,431$27
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing29$1,322$43
Simple control of nose bleed13$1,197$80
Return visit (30+ min)15$1,162$77
Test to assess middle ear function91$1,038$11

2013: 17 services

Original Medicare services billed in 2013
Short return visit (20+ min)245$21,645$55
New patient visit (30+ min)258$19,502$76
Diagnostic exam of voice box using a flexible endoscope97$13,843$94
Removal of impacted ear wax178$10,060$38
Removal of nasal air passage under lining tissue13$6,835$526
Return visit (30+ min)78$6,572$68
Biopsy or removal of nasal polyp or tissue using an endoscope12$6,213$345
Ct scan of face without contrast22$3,927$179
Reshaping of nasal cartilage11$3,148$286
Comprehensive hearing and speech recognition test66$1,991$29
Partial removal of nasal sinus using an endoscope11$1,805$164
Simple control of nose bleed19$1,591$69
Professional service for multiple injections of allergen11$1,181$9
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing22$1,069$43
Test to assess middle ear function73$893$11
Exam of ear using a microscope13$451$27
Test for hearing various pitches using earphone and device placed against the bone11$338$31

Medicaid work

$2,090 in 2024

Medicaid paid $2,090 for 442 billed services this clinician did in 2024, up to 31 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES149$959
Short return visit (20+ min)42$313
Comprehensive audiometry threshold evaluation and speech recognition87$292
Tympanometry and reflex threshold measurements121$220
New patient visit (30+ min)13$206
AUDIOMETRY AIR & BONE15$75
Binocular microscopy15$26
Medicaid work by year
2024442731$2,090
2023315726$2,423
2022383534$179
2021425636$756
202076218$962
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (30+ min)101$2,045
Short return visit (20+ min)38$247
Comprehensive audiometry threshold evaluation and speech recognition47$80
Tympanometry and reflex threshold measurements45$36
TYMPANOMETRY12$14
Return visit (30+ min)12$0
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES60$0

2022

Largest Medicaid services in 2022
New patient visit (30+ min)12$161
Tympanometry and reflex threshold measurements14$18
Comprehensive audiometry threshold evaluation and speech recognition16$0
Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease296$0
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES45$0

2021

Largest Medicaid services in 2021
New patient visit (30+ min)27$629
Short return visit (20+ min)12$67
Comprehensive audiometry threshold evaluation and speech recognition19$60
Tympanometry and reflex threshold measurements12$0
Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease297$0
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES58$0

2020

Largest Medicaid services in 2020
New patient visit (30+ min)44$962
Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease32$0

Drugs they prescribed that Part D paid

$2,138

Pharmacies billed $2,138 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 20% of their Part D prescriptions (17 of 84) in 2024. Above the middle of the specialty; the typical otolaryngology clinician is at 4%.

82 generic and fewer than 11 brand-name prescriptions · $2,138 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Neomycin-Polymyxin-Hc12$698$58
Fluocinolone Acetonide Oil11$598$54
Fluticasone Propionate15$409$27
Ipratropium15$271$18
Hydrocodone-Acetaminophen16$44$3

Year by year

Part D prescribing by year
2024845320% (17)None$2,138
202310862NoneNone$4,171
20221215511% (13)None$12,938
20211166016% (18)None$25,211
20207948NoneNone$2,364
20199045NoneNone$12,434
201810653None10%$18,127
201713665None8%$8,344
20162189311% (24)12%$32,448
2015251988% (21)21%$18,397
20142821195% (15)None$11,532
20132621067% (18)23%$13,230

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Neomycin-Polymyxin-Hc26$1,703$66
Fluocinolone Acetonide Oil21$1,499$71
Fluticasone Propionate30$587$20

2022: 5 drugs

Part D drugs prescribed in 2022
Fluocinolone Acetonide Oil13$785$60
Fluticasone Propionate46$740$16
Neomycin-Polymyxin-Hc12$700$58
Azelastine15$447$30
Hydrocodone-Acetaminophen13$46$4

2021: 3 drugs

Part D drugs prescribed in 2021
Fluocinolone Acetonide Oil14$824$59
Fluticasone Propionate31$640$21
Hydrocodone-Acetaminophen16$151$9

2020: 2 drugs

Part D drugs prescribed in 2020
Fluocinolone Acetonide Oil11$764$69
Fluticasone Propionate25$475$19

2019: 3 drugs

Part D drugs prescribed in 2019
Fluocinolone Acetonide Oil14$1,169$83
Methylprednisolone18$257$14
Fluticasone Propionate20$220$11

2018: 4 drugs

Part D drugs prescribed in 2018
Fluocinolone Acetonide Oil22$2,313$105
Fluticasone Propionate23$177$8
Methylprednisolone14$124$9
Azithromycin13$55$4

2017: 4 drugs

Part D drugs prescribed in 2017
Fluocinolone Acetonide Oil20$3,635$182
Azelastine12$992$83
Fluticasone Propionate32$315$10
Methylprednisolone22$264$12

2016: 6 drugs

Part D drugs prescribed in 2016
Fluocinolone Acetonide Oil21$3,191$152
Azelastine24$1,530$64
Fluticasone Propionate61$569$9
Methylprednisolone20$340$17
Hydrocodone-Acetaminophen23$291$13
Azithromycin21$105$5

2015: 7 drugs

Part D drugs prescribed in 2015
Dexilant11$2,444$222
Fluocinolone Acetonide Oil13$2,178$168
Azelastine12$1,137$95
Fluticasone Propionate104$1,011$10
Hydrocodone-Acetaminophen20$460$23
Methylprednisolone15$283$19
Azithromycin13$138$11

2014: 3 drugs

Part D drugs prescribed in 2014
Fluticasone Propionate174$2,702$16
Methylprednisolone13$260$20
Hydrocodone-Acetaminophen14$116$8

2013: 5 drugs

Part D drugs prescribed in 2013
Fluticasone Propionate126$2,624$21
Ciprodex16$2,525$158
Methylprednisolone16$373$23
Azithromycin21$208$10
Hydrocodone-Acetaminophen17$102$6

Money from drug and device companies

$26 in 2025

Industry payments by year
202511None$26
202111None$100
202011None$118
201934None$102

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Boston ScientificWavewriter Alpha Prime 16$26
1 payment
  • Meals for Wavewriter Alpha Prime 16 · 2025-02-13 · $26
See the published payment
Every published payment
Boston ScientificMeals · 2025-02-13Wavewriter Alpha Prime 16$26
See earlier years (2021, 2020, 2019)

2021: $100

Payments by company in 2021
StrykerNavsuite$100
1 payment
  • Meals for Navsuite · 2021-07-16 · $100

2020: $118

Payments by company in 2020
Regeneron Healthcare SolutionsDupixent$118
1 payment
  • Meals for Dupixent · 2020-01-10 · $118

2019: $102

Payments by company in 2019
Aerin MedicalVivaer Rf Stylus$57
2 payments
  • Meals for Vivaer Rf Stylus · 2019-08-21 · $28
  • Meals for Vivaer Rf Stylus · 2019-08-13 · $29
Intersect ENTPropel$30
1 payment
  • Meals for Propel · 2019-01-31 · $30
OptiNose USXhance$14
1 payment
  • Meals for Xhance · 2019-08-01 · $14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
68.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1609879386
Licence
CA G00046817
Trained
University of Michigan Medical School, 1977 · 49 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
1111 Exposition Blvd Bldg 700, Sacramento, CA, 95815
NPI first listed
2005-05-24
NPI last updated
2020-05-07
NPI record certified
2020-05-07

This is when the NPI record was last certified, not a medical board exam.