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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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 Geraets (NPI 1154441608)

Field	Value
Entity Type	Individual
Organization	Ryan Geraets
Address	6601 S Minnesota Ave Ste 200
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This provider generates $3M in lifetime Medicare revenue and has no Medicaid billing on file, making its Medicare exposure effectively the sole payer footprint in the dataset. The precomputed top-3 concentration is high: the top 3 Medicare codes by revenue account for 88.9% of this provider's total Medicare revenue, indicating a tightly focused revenue stream.

The top revenue drivers are intravitreal injection and retina-focused procedure codes: J0178 (Injection, aflibercept, 1 mg) produced $1.4M (47.7% of Medicare revenue), J2777 (Injection, faricimab-svoa, 0.1 mg) produced $1M (34.1%), and 67028 (vitreous injection as an isolated procedure) produced $214.8K (7.1%). This mix of high-volume anti-VEGF and other intravitreal therapy codes is consistent with a retina-oriented ophthalmology practice that is primarily procedural and injection-based rather than general comprehensive outpatient care.

Revenue concentration is pronounced: J0178, J2777, and 67028 together represent $1.4M, $1M, and $214.8K respectively and collectively account for 88.9% of Medicare revenue, so changes in reimbursement or utilization of these specific drug/injection codes would materially affect overall Medicare income. The rest of billed CPTs each contribute small shares, underscoring that clinical capacity and scheduling are likely optimized around injection visits and related retinal procedures.

Competitive standing on core injection codes is solid but not monopolistic: J0178 ranks #498 of 3204 providers nationally (84th percentile) and J2777 ranks #209 of 2039 providers nationally (90th percentile), both labeled in the source as typical, unremarkable volume for those codes. By contrast, the procedural code 67028 ranks #230 of 4255 providers nationally (95th percentile) and is described as notably above typical national volume, suggesting this provider is comparatively stronger in performing isolated vitreous injections or related retina procedures than many peers.

Certain diagnostic and ancillary services are extreme outliers relative to national peers despite representing a modest share of dollars. Code 92134 (computerized diagnostic imaging of the retina) generated $74.7K (2.5% of Medicare revenue) but ranks #565 of 26868 providers nationally (98th percentile; extreme outlier), and compounded drug billing J7999 generated $63.5K (2.1%) while ranking #60 of 1333 providers nationally (96th percentile); these signals point to unusually high imaging and compounded-drug utilization per provider compared with national peers.

Although this provider bills some surgical retina codes, those services are a small part of revenue and appear occasional relative to injections: for example, 67108 produced $22.6K (0.7%) and ranks #150 of 706 providers nationally (77th percentile), and 67041 produced $16.5K (0.5%) and ranks #184 of 461 providers nationally (56th percentile). This distribution indicates the practice primarily functions as an injection/retina outpatient service with intermittent surgical cases rather than as a high-volume surgical retina center.

Payer-mix implications are straightforward: with $3M in Medicare revenue and no Medicaid billing on file, the provider operates with concentrated exposure to the Medicare program and minimal to no Medicaid patient volume. That single-payer concentration reduces complexity around Medicaid reimbursement but increases sensitivity to Medicare policy, coverage, and drug-pricing changes affecting intravitreal agents.

The provider has long tenure in the dataset, with NPI enumerated on 2007-03-29 (~19 years ago), which supports an interpretation of an established referral base and operational stability in the local market. Combined with the injection- and retina-focused code mix, this longevity suggests a sustained specialty practice rather than a recent or transient billing pattern.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,090	$690	$1.4M
J2777	Injection, faricimab‑svoa, 0.1 mg	35,520	$30	$1M
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.	2,360	$90	$214.8K
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.	2,670	$30	$74.7K
J7999	Compounded drug, not otherwise classified	900	$70	$63.5K
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…	630	$90	$55.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	360	$120	$43.2K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	30	$900	$22.6K
J9035	Injection, bevacizumab, 10 mg	360	$50	$19.5K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$870	$16.5K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Ryan Geraets — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	10	690	$690	$788.7K
J2777	2	10	21,120	$30	$782K
J2781	3	10	1,340	$120	$241.3K
67028	3	10	740	$90	$108.5K
J7999	3	10	260	$70	$39.1K
67041	5	10	30	$1,190	$35.6K
67108	4	10	20	$1,180	$34.1K
92014	7	200	170	$80	$17.1K
J9035	1	10	250	$50	$13.6K
99214	981	1,660	90	$70	$11.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Ashar Luqman	IA	Nephrology Physician	$1.4M	$0
Taylor Slingsby	SD	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Richard Conklin	SD	Hematology & Oncology Physician	$994.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M
Encompass Mental Health, LLC	SD	Mental Health Counselor	$0	$908.7K
Avera Mckennan	SD	Infectious Disease Physician	$0	$852.9K

Ryan Geraets — 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