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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRaphael Rusynyk
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    Raphael Rusynyk — Billing Profile & Reimbursement Data

    NPI 1023047297 · Santa Rosa Beach, FL · Gastroenterology Physician

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    Raphael Rusynyk is a gastroenterology physician provider located in Santa Rosa Beach, Florida. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRaphael Rusynyk
    Address141 Mack Bayou Loop Ste 101
    CitySanta Rosa Beach
    StateFL
    ZIP32459
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$58.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45382The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the…60$190$10.7K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$120$10.7K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…60$130$7.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$120$7.2K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.70$80$5.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…50$100$4.9K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…70$60$4.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$50$2.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$190$2.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$190$2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853631,14060$300$31K
    9921424,43432,760140$90$25K
    432396451,26080$130$16.8K
    G010565270030$280$14.6K
    45384689030$210$12.2K
    9921320,58230,01080$60$12K
    432493530020$300$10.9K
    G012158464020$280$10K
    992046,39719,04040$110$7K
    453787967020$200$6.5K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Raphael Rusynyk, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Feriyl BhaijeeFLAnatomic Pathology & Clinical Pathology Physician$1.7M$0
    Xiaoping ZhouVAAnatomic Pathology & Clinical Pathology Physician$968.4K$59.3K
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Ravi KondapalliFLGastroenterology Physician$669.3K$0
    Caren TaylorFLGastroenterology Physician$581.1K$0
    Thomas KartisFLVascular Surgery Physician$563.3K$0
    Joshua HackelFLSports Medicine (Family Medicine) Physician$526.8K$0
    Becky OpperFLPhysician Assistant$473.1K$0
    James SlussVADiagnostic Radiology Physician$364K$90K

    Nearby Providers

    Other providers in the same ZIP code as Raphael Rusynyk, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael SticklerFLMOHS-Micrographic Surgery Physician$3.9M$0
    Stone Clinical Laboratories Of Fl LLCFLClinical Medical Laboratory$235.6K$98.6K
    Jacob FeagansFLGastroenterology Physician$236.3K$0
    Thomas RobertsFLPodiatrist$160.8K$0
    Ryan GeggFLOtolaryngology/Facial Plastic Surgery Physician$127.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Raphael Rusynyk — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida