Loading...
NPI 1295719441 · Loveland, CO · Physician Assistant
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ryan Wolf is a physician assistant provider located in Loveland, Colorado. This profile covers 3 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ryan Wolf |
| Address | 2000 Boise Ave |
| City | Loveland |
| State | CO |
| ZIP | 80538 |
| Taxonomy | Physician Assistant |
| NPI Enumerated | December 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.6M |
| Medicaid | $0 |
This provider is effectively single-payer in the dataset: reported Total Medicare revenue of $4.6M versus Total Medicaid revenue of $0, indicating Medicare is the exclusive source of billed public-payer revenue on file for this NPI. The absence of Medicaid billing suggests a Medicare-centric patient mix or contractual footprint rather than a balanced dual-payer practice model.
Revenue is extremely concentrated in a single procedure: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with one code, Q4253, alone representing $4.6M and 99.8% of Medicare revenue. This concentration indicates that the provider’s financial performance is heavily dependent on reimbursement and utilization of a narrow set of products/procedures.
Q4253 dominates operational activity by volume and dollars: 10.4K claims at $444 avg paid/claim producing $4.6M in revenue, and the provider ranks #4 of 73 nationally (96th percentile) for this code. The code description (Zenith amniotic membrane, per square centimeter) and the high volume suggest the practice is structured around frequent use of amniotic membrane products as an add-on to primary procedures, consistent with a specialized wound/skin-substitute service line or procedural practice that places matrix/substitute materials regularly.
The two secondary codes, 15271 and 15272, collectively contribute only a trivial share of revenue ($6.8K and $1.8K respectively) and much smaller claim counts (65 and 104 claims). Both codes describe use of skin substitutes for trunk/limb wounds, which aligns with the Q4253 service line, but their low dollar impact relative to Q4253 indicates these grafting codes are ancillary to the provider’s principal billing activity rather than primary revenue drivers.
Competitive standing is mixed by code: for Q4253 the provider is a national high-volume outlier (ranks #4 of 73, 96th percentile) and is described as notably above typical national volume, implying a top-tier position among peers who bill this product. In contrast, for 15271 the provider ranks #595 of 1157 (48th percentile) with a typical, unremarkable volume, and for 15272 the provider ranks #34 of 88 (62th percentile) with typical, unremarkable volume, indicating modest participation in those secondary skin-substitute CPTs compared with peers.
Tenure and NPI history support a long-established practice footprint: NPI enumerated 2005-12-01 (~21 years ago), which suggests sustained operational activity over two decades that could have enabled the provider to develop a stable procedure mix centered on amniotic membrane applications. This longevity may help explain the high cumulative Medicare revenue and large claim volume for a single add-on product.
The operational and financial profile implies risk and opportunity: dependence on Q4253 (99.8% of Medicare revenue) concentrates exposure to changes in reimbursement policy, product coverage, or supplier channels for amniotic membrane materials, while the provider’s high national rank on that code also signals a scalable capability or niche market position that could be leveraged if payer mix or service lines expand. Strategic analysis should therefore focus on reimbursement trends for Q4253 and related skin-substitute codes and on whether similar services are being captured through other (non-Medicaid) payers not present in this dataset.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 10,430 | $440 | $4.6M |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 70 | $100 | $6.8K |
| 15272 | At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider… | 100 | $20 | $1.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99053 | The provider renders overnight services at a 24 hour facility. | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99053 | The provider renders overnight services at a 24 hour facility. | 16 | 20 | 100 | $1 | $20 |
Other providers in the same ZIP code as Ryan Wolf, ranked by combined Medicare and Medicaid revenue.
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.