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

    NPI 1326295502 · Atlanta, GA · Ophthalmology Physician

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    Ryan Whitted is a ophthalmology physician provider located in Atlanta, Georgia. This profile covers 19 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 Whitted
    Address3225 Cumberland Blvd Se Ste 800
    CityAtlanta
    StateGA
    ZIP30339
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 19, 2008

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This profile is dominated by intravitreal pharmacologic therapy and retinal diagnostics: the top revenue codes are J0178 (aflibercept injections), J2777 (faricimab injections), and 67028 (isolated intravitreal injection), reflecting a practice model focused on repeated office‑based retinal injections and related procedural care. Together these three codes account for 80.0% of the provider's Medicare revenue and align with the code descriptions for medical retina treatment and injection procedures.

    Revenue concentration is highly focused: J0178 alone represents $1.4M in Medicare revenue (56.4% of total Medicare revenue), while J2777 accounts for $368.9K (14.9%) and 67028 for $214.7K (8.7%), consistent with the precomputed top‑3 share of 80.0%. This concentration indicates that a small set of anti‑VEGF and injection procedure codes drive the bulk of lifetime Medicare billing for this provider.

    Payer mix is effectively single‑payer in this dataset: lifetime Medicare revenue is $2.5M while there is no Medicaid billing on file. Analysts should treat this provider as having a Medicare‑only footprint in the available claims data rather than a mixed Medicaid/Medicare practice.

    Competitive standing is mixed across services. For J0178 the provider ranks #519 of 3204 (84th percentile), described in the source data as "typical, unremarkable volume," which suggests above‑median national activity on aflibercept but not dominance; J2777 ranks #827 of 2039 (59th percentile) and J2778 ranks #482 of 1208 (60th percentile), both characterized as typical volumes relative to peers.

    The provider is a national outlier on certain imaging and low‑cost drug codes: 92134 (retinal OCT with interpretation) shows 3.2K claims and $94.7K in revenue, ranking #341 of 26868 (99th percentile) and labeled an "extreme outlier," indicating an unusually high volume of retinal imaging relative to peers. Similarly, J9035 (bevacizumab) has 1.4K claims and $75K revenue and ranks #45 of 1852 (98th percentile; "notably above typical national volume"), which points to heavy use of bevacizumab alongside other anti‑VEGF agents.

    Operational implications from the code mix: the large counts for intravitreal injection codes (J0178: 2K claims; J2777: 12.7K claims; 67028: 2.3K claims) and very high OCT volume suggest clinic workflow optimized for frequent injection visits and high throughput retinal imaging. This profile is consistent with a retina‑oriented outpatient practice that emphasizes repeat in‑office procedures and diagnostic monitoring rather than extensive inpatient or complex vitreoretinal surgery.

    Procedure and surgery volumes are relatively low compared with injection and imaging activity: parsimonious counts for surgical retina codes such as 67042 (12 claims, $10.9K) and 67108 (11 claims, $10.3K) indicate that complex operative retinal surgery is a minor component of lifetime Medicare revenue. This supports the interpretation that the practice’s primary revenue drivers are office‑based injections and diagnostics rather than surgical interventions.

    The provider has an established billing history with an NPI enumerated on 2008-08-19 (~18 years ago), which, combined with $2.5M in lifetime Medicare revenue and the concentrated reliance on a few retinal injection and imaging codes, suggests long‑standing specialization in outpatient retinal care and longitudinal management of retinal disease in the Medicare population.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,040$690$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg12,720$30$368.9K
    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.2,310$90$214.7K
    J2778Injection, ranibizumab, 0.1 mg870$180$157.3K
    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.3,160$30$94.7K
    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…860$90$76.4K
    J9035Injection, bevacizumab, 10 mg1,390$50$75K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg180$150$27.8K
    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…280$60$18.1K
    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…10$910$10.9K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178770970$680$700.6K
    J2777234014,100$30$524.3K
    J277817301,170$180$286.2K
    67028280720$90$71.9K
    J7312910220$160$37.6K
    67042152020$1,200$31.1K
    67108111010$1,260$25.2K
    9201445850130$80$19.7K
    920127738090$60$10.5K
    J9035170120$50$10.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spokane Eye Clinic PsWAMulti-Specialty Clinic/Center$0$8M
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Spokane Eye Clinic PsWAAmbulatory Surgical Clinic/Center$3M$716.1K
    Robert WirthlinWAOphthalmology Physician$3.7M$0
    Andrew CheekWAOphthalmology Physician$3.5M$0
    Dallin AndersenWAOphthalmology Physician$3.4M$0
    Loren JackWAOphthalmology Physician$3.4M$0
    Robert WelchUTRetina Specialist (Ophthalmology) Physician$2.5M$0
    Shivani ReddyINOphthalmology Physician$2.4M$0
    James FrankGARetina Specialist (Ophthalmology) Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Margaret Wong GribbleGAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$2M$0
    K&s Clinical Diagnostics Consulting Services, LLCGAClinical Medical Laboratory$621.2K$229.3K
    A Plus Pediatric Dentistry Of AtlantaGAPediatric Dentistry$0$637.3K
    Crestre BoddyGAClinical Social Worker$446.8K$0
    Charles ThompsonGAOphthalmology Physician$405K$23.8K
    Christine PageGAMental Health Counselor$0$424K
    Nikhil AnandGAOphthalmology Physician$404.1K$0
    John RoachGAOphthalmology Physician$340.7K$0
    Elliot LevineGAOphthalmology Physician$336.3K$0
    Care1 Sc, LLCGAGerontology Nurse Practitioner$0$299.2K

    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. Georgia Distribution
    Ryan Whitted — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia