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

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

Michael Ruddat (NPI 1326021056)

Field	Value
Entity Type	Individual
Organization	Michael Ruddat
Address	85 Seymour St
City	Hartford
State	CT
ZIP	06106
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is dominant in scale relative to other payers: total Medicare revenue is $2.7M while there is no Medicaid billing on file, so MICHAEL RUDDAT effectively operates as a single‑payer (Medicare) billing entity in the data shown. The absence of Medicaid activity means state program exposure is minimal-to-none based on claims on file.

Revenue is highly concentrated in three injectable drug codes: the precomputed top three Medicare codes account for 82.3% of the provider’s Medicare revenue, driven by J0178 ($1M, 38.2%), J2777 ($955.3K, 35.5%), and J2778 ($231.6K, 8.6%). These three products dominate the clinician’s revenue mix and explain the majority of overall Medicare receipts.

The code mix indicates a retina-focused ophthalmology operation that primarily delivers intravitreal biologic therapy: J0178 (aflibercept), J2777 (faricimab), and J2778 (ranibizumab) together represent the practice’s core service line and high-cost drug administration activity. Supporting codes for intravitreal procedure work are present as well — 67028 appears with 1.4K claims and $150.5K in revenue (5.6%) — reinforcing that injections are delivered as discrete procedures.

Imaging and office exam volumes show an active diagnostic pipeline that complements the injection practice: 92134 (retinal imaging) reports 2.1K claims and $69.4K (2.6%) and is labeled notably above typical national volume (96th percentile), while 92012 (intermediate exam) has 844 claims and $63.3K (2.4%) and is also notably above typical national volume (96th percentile). 92014 (comprehensive established exam) contributes $74.3K (2.8%) and is at the 92th percentile but described as typical/unremarkable volume, indicating a busy diagnostic and follow-up workflow supporting the injection regimen.

Competitive standing by code is mixed: for high-revenue injectable codes the provider ranks in solid but not dominant national positions — J2777 ranks #253 of 2039 providers (88th percentile; typical, unremarkable volume for this code) and J0178 ranks #810 of 3204 providers (75th percentile; typical, unremarkable volume for this code), while J2778 ranks #341 of 1208 providers (72th percentile; typical, unremarkable volume for this code). In contrast, retinal imaging with 92134 is a relative outlier versus peers (96th percentile, notably above typical national volume), signaling above-average diagnostic throughput compared with national peers.

Operational implications center on drug procurement and procedure throughput: with the majority of Medicare revenue tied to high-cost injectables (J0178, J2777, J2778) the practice’s financial performance will be sensitive to biologic acquisition, reimbursement levels, and visit-based procedural capacity. Analysts and payers should expect the business model to emphasize frequent follow-up visits and procedure slots linked to ongoing biologic dosing schedules.

The provider has a long billing tenure: NPI enumerated 2005-11-28 (~21 years ago), indicating an established billing history in Medicare that supports longitudinal review of utilization patterns and reduces the likelihood that observed patterns are short-term anomalies. Longevity plus a concentrated injection portfolio is consistent with a stable, specialty retina practice.

For payer review and utilization management the combination of single-payer concentration (Medicare only), heavy reliance on three drug codes that together account for 82.3% of Medicare revenue, and elevated imaging volumes suggests focused audit or monitoring efforts should prioritize J0178, J2777, J2778, and related retinal imaging and procedure codes. The absence of Medicaid billing also means state-level comparative checks are not applicable for this NPI based on available data.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,520	$680	$1M
J2777	Injection, faricimab‑svoa, 0.1 mg	32,940	$30	$955.3K
J2778	Injection, ranibizumab, 0.1 mg	1,290	$180	$231.6K
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.	1,420	$110	$150.5K
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…	770	$100	$74.3K
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.	2,100	$30	$69.4K
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…	840	$80	$63.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	420	$120	$50.4K
99214	The 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…	180	$110	$19.7K
99204	The 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…	90	$130	$11.1K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Michael Ruddat — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	10	40	830	$690	$713.1K
J2777	1	30	8,190	$30	$340.4K
J2778	3	20	410	$180	$117.8K
67028	6	50	540	$100	$66.4K
J2781	7	10	440	$120	$55.7K
92014	25	580	100	$90	$18.6K
92012	17	300	120	$70	$15.2K
92235	10	30	40	$110	$14.8K
99214	1,782	6,480	90	$90	$14.2K
J9035	18	30	130	$50	$10.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
Retina Consultants PC	CT	Ophthalmology Physician	$0	$25.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M
Ron Margolis	CT	Ophthalmology Physician	$3.5M	$0
Jerry Neuwirth	CT	Ophthalmology Physician	$2.5M	$0
Marion Stoj	CT	Ophthalmology Physician	$2.4M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Scott Walter	CT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Children's Medical Center	CT	Children's Hospital	$0	$248.8M
Hartford Dispensary	CT	Substance Use Disorder Rehabilitation Clinic/Center	$1.6M	$122.8M
Connecticut Children's Specialty Group, Inc.	CT	Pediatrics Physician	$0	$59.8M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$42.5M
Hartford Dispensary	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.1M
Aetna Ambulance Service, Inc	CT	Land Ambulance	$2.9M	$22.2M
Home Care Vna, LLC	CT	Home Health Agency	$0	$12.4M
Connecticut Gi PLLC	CT	Gastroenterology Physician	$0	$12M
Charter Oak Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$8M

Michael Ruddat — 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