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    OpenPayerNPI Medicare & MedicaidPerrie Ryan
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    Perrie Ryan — Billing Profile & Reimbursement Data

    NPI 1073530432 · West Columbia, SC · Hematology & Oncology Physician

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    Perrie Ryan is a hematology & oncology physician provider located in West Columbia, South Carolina. This profile covers 95 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
    OrganizationPerrie Ryan
    Address222 E Medical Ln Ste 400
    CityWest Columbia
    StateSC
    ZIP29169
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 15, 2006

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $3.3M while Medicaid is reported as none (no Medicaid billing on file), indicating a single-payer footprint for public programs rather than a mixed Medicare/Medicaid panel. The NPI was enumerated 2006-07-15 (~20 years ago), so this is an established practice with roughly two decades of Medicare presence.

    Revenue is highly concentrated in a small set of infusion drugs: the precomputed top-3 Medicare codes account for 45.1% of total Medicare revenue, driven by J9271 ($752K, 23.7%), J9299 ($422.4K, 13.3%), and J9173 ($258.5K, 8.1%). This concentration signals that a few high-cost oncology therapies constitute nearly half of the provider’s Medicare receipts.

    The code mix identifies a specialty oncology infusion practice focused on immune checkpoint inhibitors and other biologics: top codes include J9271 (pembrolizumab), J9299 (nivolumab), J9173 (durvalumab), and multiple monoclonal antibody agents such as J9144 and J9312 alongside chemotherapy administration code 96413. Presence of administration codes and high-count injectables suggests the practice operates an on-site infusion suite providing ongoing IV oncology therapies.

    Imaging and diagnostic PET utilization is a meaningful secondary service line: A9595 (piflufolastat f-18) generated $225.1K (7.1%) and 78815 (PET/CT fusion) generated $136.8K (4.3%), with A9552 also present at $28.9K (0.9%). These entries indicate integrated diagnostic staging and theranostic workflows supporting treatment decisions rather than purely office-based consultations.

    Competitive standing is mixed across codes: for principal immune therapies the provider ranks in typical national ranges (J9271: #461 of 1841, 74th percentile; J9299: #199 of 505, 61th percentile; J9173: #27 of 53, 50th percentile) which suggests neither national dominance nor marginality for those agents. By contrast, some agents are clear outliers versus peers—J9035 (bevacizumab) ranks #15 of 1852 (99th percentile, notably above typical national volume)—indicating selective strength in specific biologic usage.

    Several supportive-care and administration items are unusually high versus peers, reinforcing substantial infusion throughput: J2506 (pegfilgrastim) ranks #24 of 586 (96th percentile; notably above typical national volume) and 96413 ranks #402 of 7514 (95th percentile; notably above typical national volume). Additional high-percentile codes such as J0897 (denosumab) at the 91th percentile further point to above-typical utilization of supportive and bone-modifying agents.

    The billing profile mixes very high-count, low-dollar supply codes alongside high-cost specialty drugs: for example J1439 shows 40.5K claims at $1 avg for $40.5K revenue, while immunotherapies show large dollar revenue per claim (e.g., J9271 at $752K). This pattern is consistent with an infusion clinic that bills many routine supply or injection items in volume while deriving substantial revenue from a smaller number of costly biologic agents.

    For payers evaluating network exposure, the practice represents concentrated Medicare risk tied to high-cost oncology biologics and PET diagnostics; absence of Medicaid billing (none (no Medicaid billing on file)) simplifies payer mix but concentrates utilization variability in Medicare. Given the provider’s ~20-year Medicare tenure and the mix of typical and notably above-typical code ranks, contracting or utilization management should focus on the handful of agents that drive most revenue and the high-percentile biologics where this provider diverges from peers.

    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.

    95 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg18,800$40$752K
    J9299Injection, nivolumab, 1 mg17,600$20$422.4K
    J9173Injection, durvalumab, 10 mg4,170$60$258.5K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie480$470$225.1K
    J9022Injection, atezolizumab, 10 mg3,430$60$219.6K
    J0897Injection, denosumab, 1 mg11,760$20$211.7K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj6,300$30$201.6K
    J9312Injection, rituximab, 10 mg2,220$60$142.1K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…190$710$136.8K
    J9035Injection, bevacizumab, 10 mg2,120$60$118.6K

    Showing 1–10 of 95

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 95 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    95 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271183019,700$40$832K
    J929951015,760$20$432K
    J914410108,460$40$349.4K
    J91732103,050$60$275.9K
    J90223103,550$60$239.1K
    J931213202,340$60$193.7K
    A9595310410$460$175.9K
    J0897302502,400$20$91.2K
    J2506310740$80$55.9K
    J1439193042,750$1$42.3K

    Showing 1–10 of 95

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lexington Health IncSCGeneral Acute Care Hospital$0$27.4M
    Lexington County Health Services District IncSCGeneral Acute Care Hospital$0$19.2M
    Lexington Health IncSCUrgent Care Clinic/Center$0$8.7M
    Lexington Health IncSCPediatric Adolescent Medicine Physician$0$5.7M
    Lexington Health IncSCEmergency Medicine Physician$0$4.2M
    Lexington County Health ServSCGeneral Acute Care Hospital$0$4M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Lexington Health IncSCFamily Medicine Physician$0$4M
    Lexington Health IncSCObstetrics & Gynecology Physician$0$3.5M
    Vijaya KorrapatiSCHematology & Oncology Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    United Cerebral Palsy Of South Carolina, IncSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$15.7M
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    Karen Park Family Dentistry, P.A.SCDentist$0$4.2M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Lexington Treatment Specialists LLCSCMethadone Clinic$76.7K$3.6M
    William ClarkSCOphthalmology Physician$3.3M$0
    Asheesh LalSCHematology & Oncology Physician$3.2M$0
    James WellsSCHematology & Oncology Physician$3.2M$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. South Carolina Distribution
    Perrie Ryan — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina