Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRyan Ragle
    Ask Trek AI about this page

    Ryan Ragle — Billing Profile & Reimbursement Data

    NPI 1073781951 · Anchorage, AK · Rheumatology Physician

    Customize your policy alerts

    Sign up for Ryan Ragle — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ryan Ragle is a rheumatology physician provider located in Anchorage, Alaska. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRyan Ragle
    Address3801 Lake Otis Pkwy Ste 300
    CityAnchorage
    StateAK
    ZIP99508
    TaxonomyRheumatology Physician
    NPI EnumeratedFebruary 13, 2008

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

    Payer SourceTotal Paid
    Medicare$413.8K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: all reported public claims are Medicare revenue of $413.8K and there is no Medicaid billing on file. The absence of any Medicaid activity signals limited Medicaid exposure and means analyses should treat this practice as Medicare‑centric rather than dual‑payer when assessing payer mix or access to state‑funded populations.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes (J1745, J3111, 99214) together account for 75.3% of total Medicare revenue. That concentration indicates the practice’s economics are driven primarily by a mix of biologic injectable therapy reimbursement and established outpatient evaluation & management encounters.

    The specific code mix points to an infusion/injection‑oriented rheumatology practice. Dominant codes J1745 (infliximab) and J3111 (romosozumab) are high‑revenue injectable biologics, and the high share of 99214 (established E&M visits) shows substantial clinic visit volume tied to ongoing management and biologic administration.

    Competitive standing versus national Medicare peers is mixed across the top codes: J1745 ranks #350 of 1352 (74th percentile; typical, unremarkable volume for this code) and J3111 ranks #539 of 970 (44th percentile; typical, unremarkable volume for this code), indicating modest‑to‑moderate participation in biologic administration. By contrast, 99214 ranks #37719 of 479517 (92th percentile; typical, unremarkable volume for this code), reflecting relatively strong E&M throughput versus peers and a heavier established‑patient workload.

    Secondary therapy and infusion activity also appear in the revenue mix: J0897 (denosumab) represents 13.0% of Medicare revenue and 96413 (chemotherapy/infusion administration) contributes 4.5%. These codes reinforce that the practice bills for in‑office injectable/infusion therapies beyond just the two top biologics, supporting an operational model that combines procedural administration with clinic management.

    Ancillary services and monitoring are present at modest levels, with frequent lab and collection codes such as 80053, 85025, 36415, 86140, and 85651 appearing on the top list. This pattern is consistent with chronic rheumatologic care where routine lab monitoring and phlebotomy are part of longitudinal patient management and therapy safety checks.

    The provider has a long tenure in the Medicare program, with NPI enumeration dated 2008-02-13 (~18 years ago), which suggests an established practice and potential ongoing referral relationships in the market. Longevity combined with concentrated biologic administration and high E&M volume implies an operationally mature rheumatology clinic rather than a recently opened or transient billing entity.

    From a payer and contracting perspective, the combination of concentrated Medicare revenue and no Medicaid billing represents both a strength and a vulnerability: the practice appears efficient at capturing Medicare biologic and follow‑up visit revenue but has no recorded Medicaid presence, which may limit negotiating leverage for state Medicaid contracts or leave growth opportunities in public plans unexplored.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,220$30$135.7K
    J3111Injection, romosozumab-aqqg, 1 mg13,860$10$110.9K
    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…580$110$62.7K
    J0897Injection, denosumab, 1 mg2,820$20$53.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…170$110$18.6K
    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…30$140$3.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$50$3.2K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…10$210$2.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.270$10$2.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$180$2.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J17452105,220$30$235K
    J311141022,470$10$192.9K
    J089715302,700$20$82.7K
    964131520230$110$30.2K
    99214461,21090$100$16.2K
    9921535640040$150$11K
    992131,0041,29070$70$8.5K
    9920511814030$190$7.4K
    9920425346030$140$6.1K
    96365143070$50$4.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthoalaska, LLCAKOrthopaedic Surgery Physician$0$5.8M
    John BotsonAKRheumatology Physician$1.8M$0
    Amikar SehdevAZHematology & Oncology Physician$641K$0
    Bryan HaughomAKOrthopaedic Surgery Physician$525.6K$0
    Laura LuebkeAKMedical Physician Assistant$428.6K$0
    James EuleAKOrthopaedic Surgery of the Spine Physician$400.6K$0
    Mark FlanumAKOrthopaedic Surgery of the Spine Physician$270K$0
    Derrick FogeAKOrthopaedic Surgery of the Spine Physician$268.1K$0
    Thomas PaynterAKOrthopaedic Surgery Physician$260.9K$0
    Curtis MinaAKOrthopaedic Surgery of the Spine Physician$236.4K$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. Alaska Distribution
    Ryan Ragle — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska