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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Edwin Ryan (NPI 1093703167)

Field	Value
Entity Type	Individual
Organization	Edwin Ryan
Address	7760 France Ave S
City	Minneapolis
State	MN
ZIP	55435
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 12, 2005

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

Practice profile and primary service line: This provider’s Medicare billing is concentrated in intravitreal retinal therapeutics, with J0178 (J0178 – Injection, aflibercept, 1 mg) showing 1.3K claims, $692 avg paid/claim, $899.6K revenue (60.4% of this provider's total Medicare revenue), alongside high volumes for other injectable agents J2777 and J2778. The presence of procedure code 67028 (893 claims, $97 avg paid/claim, $86.6K revenue, 5.8%) and imaging code 92134 (1.3K claims, $30 avg paid/claim, $37.5K revenue, 2.5%) supports an operation built around repeat outpatient intravitreal injections with ancillary retinal imaging and injection procedures.

Revenue concentration and payer scale: The provider reports $1.5M in total Medicare revenue and no Medicaid billing on file, and the precomputed top-3 concentration indicates that the top 3 Medicare codes account for 81.0% of Medicare revenue. This level of concentration around a small set of high-cost injectable codes implies revenue is heavily dependent on ongoing use of a few biologic agents.

Payer mix and single-payer exposure: With $1.5M in Medicare revenue and “none below” for Medicaid, the provider is effectively single-payer (Medicare) in the public programs dataset and therefore exposed to Medicare coverage, reimbursement, and utilization trends for retinal injectables rather than to Medicaid dynamics. This lack of Medicaid activity limits visibility into lower-income payer mix and creates concentrated exposure to Medicare policy changes.

Market and competitive standing on top drugs: The dominant code J0178 ranks #993 of 3204 nationally (69th percentile) and is described as having typical, unremarkable volume, indicating the provider is an active but not dominant national participant for aflibercept. The other two top revenue drivers — J2777 (6.4K claims, $29 avg paid/claim, $184.4K revenue, 12.4%; ranks #1351 of 2039, 34th percentile) and J2778 (680 claims, $182 avg paid/claim, $123.8K revenue, 8.3%; ranks #583 of 1208, 52th percentile) — are similarly characterized as typical, suggesting a modest competitive footprint across these injectable categories.

Use of biosimilars and lower-cost agents: The provider bills Q5128 (Q5128 – Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg) with 430 claims, $217 avg paid/claim, $93.3K revenue (6.3%), and also reports J9035 (bevacizumab) activity (166 claims, $54 avg paid/claim, $9K revenue, 0.6%). The mixture of branded, biosimilar, and lower-cost agents in the top-25 suggests the practice uses a range of anti-VEGF products, which may reflect patient-level selection, payer approvals, or formulary/access considerations.

Procedural vs. E/M mix and clinical workflow: E/M and comprehensive exam codes such as 92012 (341 claims, $66 avg paid/claim, $22.5K revenue, 1.5%) and 92014 (238 claims, $92 avg paid/claim, $21.9K revenue, 1.5%) contribute only small shares of Medicare revenue relative to injectable drug codes. This pattern reinforces an operating model where procedure/drug reimbursements (intravitreal injections and associated services) are the primary revenue drivers, with office visits and new-patient comprehensive evaluations representing a minor portion of billed revenue.

Imaging volume signal and its relative strength: Retinal imaging (92134) shows 1.3K claims generating $37.5K (2.5% of Medicare revenue) and ranks #1806 of 26868 nationally (93th percentile) while being characterized as typical, unremarkable volume. The high national percentile for 92134 indicates above-average use of retinal OCT imaging relative to peers by count, consistent with a retina-focused practice that pairs frequent imaging with injection visits for monitoring disease activity.

Tenure and continuity: The provider’s NPI was enumerated on 2005-10-12 (~21 years ago), indicating long-standing Medicare enrollment and likely sustained practice activity over two decades. That tenure supports interpretation of the current billing mix as an established operational pattern rather than a short-term or transient billing profile.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,300	$690	$899.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,360	$30	$184.4K
J2778	Injection, ranibizumab, 0.1 mg	680	$180	$123.8K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	430	$220	$93.3K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	890	$100	$86.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,250	$30	$37.5K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	340	$70	$22.5K
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…	240	$90	$21.9K
J9035	Injection, bevacizumab, 10 mg	170	$50	$9K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	50	$110	$4.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Edwin Ryan — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	40	580	$690	$743.4K
J2777	11	20	6,120	$30	$411.1K
Q5128	13	20	1,410	$220	$393.8K
J2778	7	20	500	$180	$121K
67028	17	80	420	$90	$64.8K
J9035	26	40	220	$50	$16.9K
92014	161	830	100	$80	$11.9K
92012	19	200	60	$60	$8.8K
92235	17	40	40	$110	$6.9K
92134	18	580	40	$30	$4.8K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Vitreoretinal Surgery PLLC	MN	Ophthalmology Physician	$0	$27.8M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Group Health, Inc.	MN	Pediatric Dentistry	$0	$5.6M
David Williams	MN	Retina Specialist (Ophthalmology) Physician	$5.5M	$0
David Parke	MN	Ophthalmology Physician	$4.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Professional Resource Network - Prn - Corporation	MN	Home Health Agency	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Mental Health Systems PC	MN	Psychologist	$0	$11M
Premier Obgyn Of Minnesota PLLC	MN	Obstetrics & Gynecology Physician	$0	$7M
Noran Neurological Clinic P.A.	MN	Specialist	$0	$6M
Nura Surgical Center LLC	MN	Ambulatory Surgical Clinic/Center	$5.3M	$581.7K
Southdale Pediatric Associates, Ltd	MN	Multi-Specialty Clinic/Center	$0	$5.3M
Sundeep Dev	MN	Ophthalmology Physician	$4.5M	$0

Edwin Ryan — Billing Profile & Reimbursement Data

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Edwin Ryan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References