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    OpenPayerNPI Medicare & MedicaidRyan Hankins
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    Ryan Hankins — Billing Profile & Reimbursement Data

    NPI 1164712469 · Washington, DC · Urology Physician

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    Ryan Hankins is a urology physician provider located in Washington, District of Columbia. This profile covers 26 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRyan Hankins
    Address3800 Reservoir Rd Nw
    CityWashington
    StateDC
    ZIP20007
    TaxonomyUrology Physician
    NPI EnumeratedApril 8, 2011

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

    Payer SourceTotal Paid
    Medicare$445K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the data set: Total Medicare revenue is $445K while Total Medicaid revenue is none (no Medicaid billing on file), indicating Medicare accounts for the entirety of observed public-payer activity. Analysts should treat the profile as Medicare-centric when evaluating access, utilization, or contracting implications.

    Revenue is highly concentrated in a small set of codes: the precomputed top‑3 codes account for 63.3% of Medicare revenue, driven mainly by 55874 (35.3%), 99214 (21.9%), and 99204 (6.1%). This concentration implies that a handful of prostate-related procedures and office E/M visits dominate the provider’s billings and financial profile.

    The code mix points to a procedural urology practice with substantial prostate-targeted services and high ambulatory clinic volume. 55874 (56 claims, $2809 avg paid/claim, $157.3K revenue) is the single largest revenue driver and reflects use of biodegradable spacers placed under imaging guidance to separate the prostate from the rectum; alongside procedure codes such as 52000 (108 claims, $24.1K revenue) and 52601 (24 claims, $15.1K revenue), the pattern is consistent with active endoscopic and prostate intervention work.

    Office and outpatient evaluation-and-management activity is a major element of throughput: 99214 shows 937 claims and $97.4K revenue and ranks #13450 of 479517 providers nationally (97th percentile; notably above typical national volume), while 99204 (198 claims, $27.1K revenue) ranks in the 98th percentile (notably above typical national volume). These rankings indicate the provider manages a comparatively large volume of both established‑patient follow-ups and higher‑complexity new outpatient consultations versus national peers.

    Competitive standing is mixed by service line: for 55874 the provider ranks #35 of 557 (94th percentile; typical, unremarkable volume), which is a high national placement but is characterized in the source as typical volume for that code; by contrast the E/M codes 99214 and 99204 are explicit outliers (97th and 98th percentiles, respectively), signaling above‑average clinic visit volume compared with peers. Other high‑percentile services include 51798 (536 claims; ranks #740 of 9468, 92nd percentile) and 51741 (276 claims; ranks #190 of 4249, 96th percentile), reinforcing a notable procedural throughput for bladder/urodynamics testing.

    Specific prostate-related adjunct services further support a role in cancer-directed workflows or radiation preparation: A4648 (43 claims, $23.3K revenue) and 55876 (43 claims, $3.1K revenue) indicate tissue marker implantation and placement of location markers/dosimetry devices, while 55899 (41 claims, $22.1K revenue) captures additional male‑genital procedures. A4648 ranks #87 of 169 (49th percentile), suggesting mid-level activity among the smaller national cohort that bills that implantable marker code.

    The provider has an established NPI tenure (NPI enumerated 2011-04-08 (~15 years ago)), which combined with the $445K lifetime Medicare revenue suggests a modestly sized, stable specialist practice focused on urology procedures and high E/M clinic volume. Given the lack of Medicaid billing on file, payer negotiations or population access analyses should focus on Medicare beneficiaries and commercial coverage rather than Medicaid-managed care panels.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…60$2,810$157.3K
    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…940$100$97.4K
    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…200$140$27.1K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…110$220$24.1K
    A4648Tissue marker, implantable, any type, each40$540$23.3K
    55899Use 55899 to report procedures in the male genital system that does not have a specific code.40$540$22.1K
    99443N/A160$110$17K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$630$15.1K
    0421TN/A10$640$8.9K
    55700Code deleted December 31, 2025.40$230$8.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5587411010$1,980$53.5K
    A464811040$540$23.3K
    9923357765090$100$17.6K
    99214181,40090$100$15.3K
    5589921060$230$13.8K
    0421T21020$630$12.5K
    9921542166050$130$12.3K
    5200073050$170$12.3K
    5260121020$630$12.1K
    992139131,20050$70$8.5K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    Howard HauptmanMDRheumatology Physician$2.9M$0
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0
    Prashanth RaoMDCardiovascular Disease Physician$1.1M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Atif RasheedTNEmergency Medicine Physician$832.9K$54.7K
    Jazibeh QureshiMDRheumatology Physician$880.1K$0
    Paresh ShahMDClinical Cardiac Electrophysiology Physician$836K$0
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. John's Community Services-dcDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$99M
    Medstar - Georgetown Medical Center, Inc.DCGeneral Acute Care Hospital$0$45.6M
    Mgmc, LLCDCGeneral Practice Physician$0$18.1M
    Mina AkhlaghiDCDentist$0$2.1M
    Medstar Georgetown Medical Center, IncDCInternal Medicine Physician$0$923.4K
    Anisa OmarDCOrthodontics and Dentofacial Orthopedics Dentistry$0$892K
    Fred MoDCOrthopaedic Surgery of the Spine Physician$688.8K$0
    Parham FaridDCDiagnostic Radiology Physician$642.7K$0
    Siamak MajidiDCPediatric Dentistry$0$618.1K
    Andrea SingerDCInternal Medicine Physician$608.6K$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. District of Columbia Distribution
    Ryan Hankins — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia