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    OpenPayerNPI Medicare & MedicaidSteven Ryder
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    Steven Ryder — Billing Profile & Reimbursement Data

    NPI 1366732851 · Charlotte, NC · Ophthalmology Physician

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    Steven Ryder is a ophthalmology physician provider located in Charlotte, North Carolina. This profile covers 21 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
    OrganizationSteven Ryder
    Address135 S Sharon Amity Rd Ste 100
    CityCharlotte
    StateNC
    ZIP28211
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 18, 2011

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare work is highly concentrated: total Medicare revenue is $2.7M and the top 3 Medicare codes by revenue account for 72.7% of that total. The three codes driving this concentration are J2777 ($1.2M, 43.8%), J0178 ($585.4K, 21.7%), and 92014 ($193.5K, 7.2%).

    The code mix signals a retina-focused ophthalmology practice centered on intravitreal pharmacotherapy and diagnostic imaging. Large volumes of J2777, J0178, J2778 and J2781 (faricimab, aflibercept, ranibizumab, pegcetacoplan) combined with substantial 92134 imaging and procedures such as 67028/67036/67042 indicate routine anti-VEGF and other intravitreal treatments plus retinal diagnostic and occasional surgical services.

    Despite J2777 contributing 43.8% of Medicare revenue and ranking #161 of 2039 providers nationally (92th percentile), the available description characterizes that volume as "typical, unremarkable" for the code; J0178 is also a meaningful revenue driver at 21.7% but sits nearer the middle of national peers (rank #1454 of 3204, 55th percentile). This suggests the practice relies heavily on a single high-volume injectable agent while not necessarily being an outlier in that specific national peer set.

    Two codes are statistical outliers relative to national billing patterns: 92014 (2.2K claims, $193.5K, rank #187 of 35415, 99th percentile; extreme outlier) and 92134 (2.5K claims, $75.8K, rank #649 of 26868, 98th percentile; extreme outlier). These extreme volumes for a comprehensive established-patient exam and retinal imaging imply a large, steady panel of returning patients and high throughput of diagnostic services.

    Several procedure codes and implants further define the service mix: 67028 (1.6K claims, $146.9K, rank #658 of 4255, 85th percentile) and J7312 (504 claims, $80.1K, rank #42 of 492, 91th percentile) show routine intravitreal procedures and implant use consistent with retina practice. By contrast, J3490 (26 claims, $56.6K, rank #2400 of 2838, 14th percentile) represents a smaller, higher-paid unclassified-drug component that is not a major share of revenue.

    Clinical care management activity is notable: 99426 (465 claims, $21.9K, rank #79 of 1130, 93th percentile) and 99427 (89 claims, $3.2K, rank #88 of 408, 78th percentile) indicate that the practice bills for directed clinical staff time managing complex chronic conditions. This pattern supports a longitudinal care relationship with medically complex ophthalmic patients in addition to procedure-driven revenue.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.7M and there is no Medicaid billing on file. The absence of Medicaid claims means analysts should treat this provider as Medicare-centric when assessing payer risk, access, and population served.

    The provider has an established national presence with an NPI enumerated on 2011-04-18 (~15 years ago), indicating sustained activity over time. Combined with the high-volume recurring exam and imaging codes, this tenure is consistent with a stable, established ophthalmology practice focused on retinal care and ongoing management of chronic eye disease.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg40,800$30$1.2M
    J0178Injection, aflibercept, 1 mg850$690$585.4K
    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…2,200$90$193.5K
    J2778Injection, ranibizumab, 0.1 mg940$180$170.3K
    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.1,630$90$146.9K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg680$120$81K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg500$160$80.1K
    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.2,530$30$75.8K
    J3490Unclassified drugs30$2,180$56.6K
    99214The 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…410$80$33.8K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017854100950$690$881K
    J277777012,990$30$503.7K
    J27781850620$180$202.2K
    6702825120780$90$80K
    J2781410480$120$75.8K
    J7312320390$160$56.4K
    J3490578050$450$24.1K
    67042153020$990$23.8K
    920145880110$80$17.7K
    67036132020$840$16.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick WeidmanNCOphthalmology Physician$2.1M$0
    Strutha RouseNCOphthalmology Physician$1.9M$0
    Joseph BiberNCOphthalmology Physician$418.1K$0
    Vandana MinnalNCOphthalmology Physician$304.2K$0
    Joseph KrugNCOphthalmology Physician$285.8K$0
    Gerald RosenNCOphthalmology Physician$164.5K$0
    Kevin TomaskoNCOphthalmology Physician$114.6K$0
    Warren StromanNCOphthalmology Physician$41.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alexander Youth NetworkNCCommunity/Behavioral Health Agency$0$36.8M
    David H. Moore, Dds,ms,paNCPediatric Dentistry$0$32M
    Mid-atlantic Emergency Medical Associates, PLLCNCEmergency Medicine Physician$0$25.2M
    Thompson Child And Family FocusNCCommunity/Behavioral Health Agency$0$24.1M
    Mecklenburg CountyNCState or Local Public Health Clinic/Center$0$22.4M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Novant Health Medical Group LLCNCPediatrics Physician$0$20.4M
    Cooke And Mvula, PLLCNCPediatric Dentistry$0$18.8M
    Carolinas Medical CenterNCChild & Adolescent Psychiatry Physician$0$16.6M
    Cotswold Family MedicineNCFamily Medicine Physician$0$12.2M

    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. North Carolina Distribution
    Steven Ryder — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina