Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ryan Edmonds (NPI 1093029522)

Field	Value
Entity Type	Individual
Organization	Ryan Edmonds
Address	623 Swedesford Rd
City	Frazer
State	PA
ZIP	19355
Taxonomy	Optometrist
NPI Enumerated	July 26, 2010

Payer Source	Total Paid
Medicare	$15.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	100	$60	$5.7K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	40	$90	$3.8K
99214	The 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…	20	$90	$1.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	60	$30	$1.4K
92072	The provider performs initial fitting of soft contact lens on the cornea to treat keratoconus.	10	$90	$1.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	10	$80	$1.1K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	10	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Ryan Edmonds — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	1,235	1,570	130	$80	$21K
99214	20,965	23,230	100	$80	$14.5K
99213	8,723	22,370	70	$60	$7.7K
92004	921	1,060	30	$100	$5K
92250	637	1,270	60	$30	$2.9K
92025	159	180	40	$20	$1.7K
92072	1	10	10	$90	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Mcguigan	NJ	Optometrist	$4.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Malvern Institute For Psychiatric And Alcoholic Studies, Inc.	PA	Special Hospital	$0	$91.7M
Cardionet, LLC	PA	Physiological Laboratory	$11M	$63.2M
Childrens Surgery Center Of Malvern, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$11.3M
Ramsis Holdings, Hands From The Heart Home Healthcare Services	PA	Home Health Agency	$0	$8.3M
Danielle Young	PA	Family Nurse Practitioner	$3.7M	$0
Coram Alternate Site Services Inc	PA	Home Infusion Therapy Pharmacy	$54.7K	$2.6M
Jennifer Kwan-morley	PA	Rheumatology Physician	$2.5M	$0
Caitlin Trainor	PA	Family Nurse Practitioner	$1.3M	$0
Main Line PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Stephanie Morris	PA	Rheumatology Physician	$742.6K	$0

Ryan Edmonds — Billing Profile & Reimbursement Data

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Ryan Edmonds — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References