Loading...
NPI 1356640650 · Brooklyn, NY · General Practice Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ryan Whitney is a general practice physician provider located in Brooklyn, New York. This profile covers 21 Medicare and 19 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 Whitney |
| Address | 40 Heyward St |
| City | Brooklyn |
| State | NY |
| ZIP | 11249 |
| Taxonomy | General Practice Physician |
| NPI Enumerated | March 25, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.3M |
| Medicaid | $491.8K |
NPI tenure and payer scale: NPI enumerated (registered): 2011-03-25 (~15 years ago). This provider’s billed Medicare revenue of $3.3M dwarfs its Medicaid revenue of $491.8K, so Medicare is the dominant payer relationship on file, while Medicaid activity is present but substantially smaller in scale.
Medicare revenue concentration and core codes: The top three Medicare codes by revenue account for 68.5% of the provider’s Medicare revenue, driven by 99308 ($1.1M, 32.8% of Medicare revenue), 99309 ($749.9K, 22.7% of Medicare revenue), and 11043 ($428.5K, 13.0% of Medicare revenue). That concentration indicates a narrow set of services—primarily subsequent nursing facility E/M visits and surgical debridement—producing the bulk of Medicare receipts.
Medicaid revenue concentration and core codes: The top three Medicaid codes by revenue account for 83.2% of the provider’s Medicaid revenue, led by 99308 ($292.8K, 58.5% of Medicaid revenue), 99309 ($66.5K, 13.3% of Medicaid revenue), and 11044 ($57.4K, 11.5% of Medicaid revenue). Medicaid billing is likewise concentrated in nursing facility subsequent care and debridement-related services, signaling the same service-line focus across payers.
Business/service-line implication — SNF and wound care focus: High-volume use of 99308 and 99309 (nursing facility subsequent care E/M) together with multiple high-volume debridement codes (11043, 11044, 11046, 11047) suggests the practice operates substantially in skilled nursing facility settings and/or structured wound-debridement workflows, delivering on-site visits and procedure-based wound care rather than a broad outpatient primary-care mix.
National and state competitive standing — Medicare: Several of the provider’s highest-revenue Medicare codes are statistical outliers versus national peers: 99308 ranks #4 of 25763 (100th percentile, extreme outlier), 99309 ranks #18 of 28092 (100th percentile, extreme outlier), and 11043 ranks #4 of 2062 (100th percentile, extreme outlier). Those rankings indicate the provider is a major national volume outlier for both SNF evaluation-and-management visits and specific debridement procedures.
Competitive standing — Medicaid (in-state): Medicaid ranks mirror the Medicare pattern for key codes: 99308 is #2 of 2087 in-state (100th percentile, extreme outlier) and 99309 is #14 of 1840 in-state (99th percentile, extreme outlier). In-state dominance on 99308 in particular identifies this provider as a leading local source of subsequent nursing facility visits under Medicaid.
Payment-per-claim differentials across payers: Average paid per claim differs sharply between payers for the same service; for example, 99308 shows Medicare avg paid/claim $68 versus Medicaid avg paid/claim $4, and 11044 shows Medicare avg paid/claim $218 versus Medicaid avg paid/claim $28. These discrepancies reflect expected payer-level reimbursement differences and should be accounted for when modeling revenue or projecting margins by payer for the identified service lines.
Operational and analytic implications: The combination of long tenure (NPI enumerated 2011-03-25 (~15 years ago)), narrow revenue concentration (68.5% of Medicare revenue and 83.2% of Medicaid revenue from the top three codes), and multiple codes labeled as “extreme outlier” suggests the provider represents a high-capacity, specialized source of SNF visits and debridement services. For payers and competitors, this profile warrants targeted utilization and care-model review to understand referral patterns, site-of-service mix (home/SNF visits such as 99349/99348 appear in the mix), and clinical throughput driving these high volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 15,920 | $70 | $1.1M |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 7,730 | $100 | $749.9K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 3,200 | $130 | $428.5K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 1,540 | $220 | $336.2K |
| 11046 | The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at… | 5,420 | $50 | $292.8K |
| 11047 | The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service… | 2,620 | $100 | $253.8K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 330 | $70 | $23.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 180 | $120 | $21.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 390 | $50 | $18.1K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 250 | $70 | $17K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11047 | 1 | 10 | 160 | $100 | $48K |
| 99308 | 2 | 2,360 | 250 | $60 | $44.9K |
| 99309 | 1 | 2,150 | 220 | $90 | $41.7K |
| 11044 | 1 | 20 | 40 | $240 | $37.7K |
| 11043 | 1 | 100 | 50 | $170 | $29K |
| 99349 | 278 | 790 | 100 | $100 | $27.3K |
| 11046 | 1 | 30 | 110 | $60 | $27.3K |
| 99490 | 295 | 1,210 | 150 | $50 | $21K |
| 99305 | 495 | 940 | 60 | $110 | $16.9K |
| 99306 | 372 | 1,060 | 60 | $150 | $16.6K |
Showing 1–10 of 21
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.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 73,200 | $1 | $292.8K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 13,290 | $10 | $66.5K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 2,050 | $30 | $57.4K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 4,050 | $10 | $40.5K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 2,040 | $10 | $12.2K |
| 11047 | The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service… | 1,110 | $10 | $7.8K |
| 11046 | The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at… | 3,560 | $1 | $7.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 230 | $20 | $4.8K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 230 | $20 | $4.4K |
| 92511 | The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera. | 90 | $40 | $3.5K |
Showing 1–10 of 19
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
19 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 3 | 30 | 140 | $40 | $69K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 2 | 10 | 270 | $40 | $33K |
| 92511 | The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera. | 18 | 40 | 90 | $80 | $30.4K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 140 | 320 | 150 | $50 | $27.7K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 244 | 510 | 200 | $30 | $26.7K |
| 99344 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least… | 35 | 90 | 40 | $100 | $23.4K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 180 | 350 | 100 | $30 | $20K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 2 | 2,090 | 420 | $10 | $18.7K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 14 | 1,840 | 390 | $10 | $17.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 409 | 1,110 | 230 | $10 | $12.1K |
Showing 1–10 of 19
Other providers in the same ZIP code as Ryan Whitney, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Oda Primary Health Care Network, Inc. | NY | Primary Care Clinic/Center | $0 | $83.1M |
| Hda Cdpas LLC | NY | Case Management Agency | $0 | $66.8M |
| Oda Primary Health Care Network, Inc. | NY | Federally Qualified Health Center (FQHC) | $0 | $37M |
| Excellent Home Care Services, LLC | NY | Home Health Agency | $0 | $31.3M |
| Siblings Home Care Services LLC | NY | Home Health Agency | $0 | $30.6M |
| Valera Medical, P.C. | NY | Psychiatry Physician | $0 | $20.7M |
| Daniel Culliford | NY | Psychiatry Physician | $633.4K | $280.6K |
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.