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

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

Ronald Gailun (NPI 1104811769)

Field	Value
Entity Type	Individual
Organization	Ronald Gailun
Address	3640 Main St
City	Springfield
State	MA
ZIP	01107
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 20, 2005

Payer Source	Total Paid
Medicare	$467.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	7,080	$30	$205.3K
J0178	Injection, aflibercept, 1 mg	260	$700	$181.1K
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.	300	$90	$26.5K
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…	250	$80	$20.9K
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.	580	$30	$16.7K
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…	140	$60	$8.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	150	$40	$5.5K
J9035	Injection, bevacizumab, 10 mg	60	$60	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Ronald Gailun — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	67	90	790	$690	$826.5K
J2777	24	50	7,080	$30	$343.1K
67028	82	120	570	$100	$80.7K
92014	415	1,070	160	$90	$30.1K
J9035	65	80	250	$50	$19.7K
92012	208	560	90	$70	$12.4K
92134	96	670	70	$30	$10.6K
99212	215	2,660	30	$40	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Lally	MA	Ophthalmology Physician	$3.2M	$670
Rebecca Soares	MA	Retina Specialist (Ophthalmology) Physician	$3M	$9.1K
Shilpa Gulati	MA	Ophthalmology Physician	$2.4M	$0
Andrew Lam	MA	Ophthalmology Physician	$1.4M	$0
Hari Mylvaganam	MA	Ophthalmology Physician	$1.3M	$5.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Human Development, Inc.	MA	Community/Behavioral Health Agency	$0	$97.1M
Viecare Corp	MA	Foster Care Agency	$0	$35.5M
Andventure, LLC	MA	Home Health Agency	$0	$14.6M
Baystate Mri & Imaging Center, LLC	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$2.6M	$6.7M
Radiology & Imaging, Inc.	MA	Diagnostic Radiology Physician	$0	$5.8M
Pioneer Valley Surgicenter LLC	MA	Ambulatory Surgical Clinic/Center	$429.2K	$614.8K
Sidney Kahn Iv	MA	Vascular & Interventional Radiology Physician	$945K	$0
Michael Loosemore	MA	MOHS-Micrographic Surgery Physician	$908.7K	$0
Greater Springfield Surgery Center, LLC	MA	Ambulatory Surgical Clinic/Center	$650.7K	$114.4K
Scott Halista	MA	Rheumatology Physician	$679.1K	$15.5K

Ronald Gailun — Billing Profile & Reimbursement Data

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Ronald Gailun — 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