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

    NPI 1316094139 · Pensacola, FL · Retina Specialist (Ophthalmology) Physician

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    Ryan Tarantola is a retina specialist (ophthalmology) physician provider located in Pensacola, Florida. This profile covers 24 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 Tarantola
    Address5150 N Davis Hwy
    CityPensacola
    StateFL
    ZIP32503
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJanuary 4, 2007

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

    Payer SourceTotal Paid
    Medicare$5.5M
    Medicaid$0

    Key Findings

    This provider is heavily focused on intravitreal biologic injections and retina diagnostics: J0178 (aflibercept), J2778 (ranibizumab), and J2777 (faricimab) together account for 84.6% of lifetime Medicare revenue, and the largest single CPT/HCPCS entry is J0178 with $3.2M in revenue. The code mix (high-volume anti-VEGF and related intravitreal drug codes alongside retinal imaging 92134 and injection procedure 67028) indicates a practice model centered on medical retina services and frequent intraocular injections rather than primarily refractive or general ophthalmology care.

    Revenue is highly concentrated in a very small set of drugs: the precomputed top-3 codes contribute 84.6% of Medicare revenue, with J0178 alone representing 59.2% of the provider’s total Medicare receipts. This concentration implies financial exposure to utilization changes, reimbursement shifts, or drug mix substitution affecting those specific intravitreal agents.

    The provider’s Medicare footprint is large while Medicaid activity is effectively zero: lifetime Medicare revenue is $5.5M and there is no Medicaid billing on file. This makes the provider functionally single-payer (Medicare-dominated) in the available claims data, which affects payer-contracting leverage and network planning assumptions.

    National competitive standing is exceptionally strong on several high-value items: the provider ranks in the 99th percentile and is labeled an "extreme outlier" for J0178 (rank #33 of 3204) and is also an extreme outlier for 92014, 92012, and 92134, indicating far above-typical national volumes for both drug administration and key ophthalmic evaluation/imaging codes. These rankings point to a major national-level presence for retina injection volume and retinal imaging among peers.

    Several procedure codes show notable above-typical volume even beyond drug injections: 67028 (injection into the vitreous chamber) is described as "notably above typical national volume" and 92002 ranks very highly (99th percentile) for intermediate new-patient ophthalmology evaluations. Together these data suggest a high throughput clinic that performs many injection visits and frequent new/established eye evaluations.

    Although device/surgical retina procedures appear in the portfolio, surgical volumes are modest: pars plana vitrectomy and related surgical codes such as 67042 and 67036 have low claim counts and rank in lower percentiles (36th and 7th percentiles respectively), indicating the provider’s activity is predominantly medical retina/injections rather than vitreoretinal surgery.

    Tenure in the Medicare program is long: the NPI was enumerated on 2007-01-04 (~19 years ago), supporting that the high-volume injection practice is an established operation with a sustained Medicare presence rather than a recent entrant.

    There is limited utilization of low-cost compounded and alternative intravitreal agents: J7999 and J9035 (compounded drug and bevacizumab) together account for a very small share of revenue (each at 0.3% and 0.1% respectively), reinforcing reliance on branded intravitreal biologics (notably aflibercept and ranibizumab) as the practice’s primary revenue drivers.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg4,720$690$3.2M
    J2778Injection, ranibizumab, 0.1 mg4,610$180$835K
    J2777Injection, faricimab‑svoa, 0.1 mg19,200$30$556.8K
    67028The 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.3,250$90$289.5K
    92014An 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…1,990$90$168.9K
    92012For 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…1,930$60$117.5K
    92134The 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.3,950$30$114.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg240$120$28.8K
    J7999Compounded drug, not otherwise classified240$70$15.7K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$870$14.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01785250800$690$817.6K
    J27775117012,810$30$549.2K
    J27785110660$180$234.1K
    J27814750500$120$102K
    6702813300710$90$91.1K
    67042468020$1,180$36.5K
    67036607020$1,050$31.4K
    92014282,180160$80$28.5K
    67108396020$1,200$27.5K
    92012101,170110$60$16.7K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunil GuptaFLRetina Specialist (Ophthalmology) Physician$11.4M$36.1K
    John MyersFLRetina Specialist (Ophthalmology) Physician$5.4M$0
    Ahmet OzkokFLOphthalmology Physician$2.1M$193.6K
    Magdalena ShulerFLRetina Specialist (Ophthalmology) Physician$2M$0
    Sean AllisonMSRetina Specialist (Ophthalmology) Physician$1.7M$33.4K
    Anne BarananoMSRetina Specialist (Ophthalmology) Physician$1.7M$530
    George PetersMAOphthalmology Physician$1.6M$0
    Shalesh KaushalFLOphthalmology Physician$546.1K$2.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Care, IncFLGeneral Acute Care Hospital$0$18.4M
    Interventional Therapeutics Institute, LLCFLAmbulatory Surgical Clinic/Center$2.8M$7.6K
    Coyt RountreeFLRadiation Oncology Physician$2.5M$0
    Rami OweraFLMedical Oncology Physician$2.3M$0
    Jamal JoudehFLMedical Oncology Physician$2.1M$0
    Endoscopy Group LLCFLAmbulatory Surgical Clinic/Center$1.6M$253.9K
    The Surgery Center At Woodlands, LLCFLAmbulatory Surgical Clinic/Center$1.8M$0
    Shailesh PatelFLMedical Oncology Physician$1.6M$0
    John SchaubFLMedical Oncology Physician$1.6M$0
    Vivid Pathology PAFLAnatomic Pathology & Clinical Pathology Physician$877.8K$591K

    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. Florida Distribution
    Ryan Tarantola — 7 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida