Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Manry
    Ask Trek AI about this page

    Matthew Manry — Billing Profile & Reimbursement Data

    NPI 1366735243 · Longmont, CO · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Matthew Manry — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Matthew Manry is a retina specialist (ophthalmology) physician provider located in Longmont, Colorado. This profile covers 22 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Manry
    Address1400 Dry Creek Dr
    CityLongmont
    StateCO
    ZIP80503
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 25, 2011

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is a retina-focused ophthalmology practice that generates the majority of its Medicare revenue from intravitreal biologic injections and associated clinic visits. The top revenue-driving code is J2777 (faricimab) with 22K claims and $636.8K revenue (40.8% of the provider's Medicare revenue), followed by J0178 (aflibercept) with 600 claims and $408K revenue (26.2%), and 67028 (intravitreal injection) with 902 claims and $91.1K revenue (5.8%). These code choices and volumes are consistent with a medical-retina, injection-centered ambulatory practice rather than a predominantly surgical or hospital-based operation.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 72.8% of the provider's total Medicare revenue, indicating material dependence on a small set of high-cost biologic drugs. Given the overall Medicare revenue of $1.6M, changes in utilization, reimbursement, or drug mix for J2777 and J0178 could meaningfully affect topline Medicare income for this provider.

    Payer mix is effectively single-payer at present: the provider reports $1.6M in lifetime Medicare revenue and has no Medicaid billing on file, so Medicaid does not appear to be part of the practice's revenue mix. Analysts should treat this profile as Medicare-dominant when modeling payer risk or access impact, and verify whether commercial payers follow a similar utilization pattern.

    Competitive standing on the highest-revenue biologic is in the upper-middle of national peers: J2777 ranks #467 of 2039 providers nationally (77th percentile) and is characterized as "typical, unremarkable volume for this code," which supports that the provider participates at a meaningful but not dominant level in faricimab administration. By contrast J0178 ranks #1772 of 3204 (45th percentile; "typical, unremarkable volume"), indicating more modest aflibercept use relative to national peers.

    Certain clinic-level E/M and imaging services show above-typical volume, suggesting robust office throughput that supports the injection service-line. Code 99213 (731 claims, $50.4K revenue) and 92250 (605 claims, $18.2K revenue) are both labeled "notably above typical national volume" (99213 at the 97th percentile and 92250 at the 97th percentile), consistent with high visit and retinal photography activity that typically accompanies an injection-driven retina practice.

    Surgical retina procedures appear present but limited: codes such as 67042 and 67036 are billed (15 claims each) and generate modest revenue ($13.6K and $10.1K respectively), each described as "typical, unremarkable volume." This pattern indicates the provider performs some posterior-segment surgery but that surgery is a minor contributor to overall Medicare revenue compared with intravitreal biologics.

    A few miscellaneous/administrative drug codes (J3590, J3490, J7999) contribute small but noticeable revenue lines (for example J3590 at $74.2K and J3490 at $72.7K) and are characterized as "typical, unremarkable volume," which could reflect occasional billing for unclassified or compounded agents; these lines are secondary to the main biologic codes. Analysts should review these claims if evaluating drug sourcing or coding consistency but treat them as minor relative to the top biologic claims.

    Provider tenure is well-established: the NPI was enumerated on 2011-05-25 (approximately 15 years ago), indicating a sustained presence in the market. That tenure, paired with concentrated biologic and high-volume clinic codes, suggests an entrenched outpatient retina practice serving Medicare beneficiaries in Longmont, CO.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg21,960$30$636.8K
    J0178Injection, aflibercept, 1 mg600$680$408K
    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.900$100$91.1K
    J3590Unclassified biologics30$2,560$74.2K
    J3490Unclassified drugs40$1,770$72.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…730$70$50.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg390$120$46.8K
    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.1,180$30$36.6K
    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…380$90$34.6K
    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…230$100$22.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783260740$690$618.3K
    J27778408,910$30$456.1K
    J359021020$2,200$94.6K
    J2781910470$120$79.4K
    670283380670$100$73.3K
    67036193020$1,100$37.3K
    67042223020$1,140$29.6K
    J3490436050$290$23.1K
    J79991550230$70$21.5K
    6682117118040$240$15.5K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    West Chester Hospital LLCOHGeneral Acute Care Hospital$0$19.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    James OsherOHOphthalmology Physician$3.7M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0
    Hang PhamOHOphthalmology Physician$2.6M$0
    Robert SiskOHOphthalmology Physician$2.5M$0
    Lucas LindsellOHOphthalmology Physician$2.4M$0
    Elisha TiltonCOOphthalmology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    Advanced Vision Surgery Center LLCCOAmbulatory Surgical Clinic/Center$1.8M$0
    Justin KanoffCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Carl NobleCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Micah RothsteinCOGlaucoma Specialist (Ophthalmology) Physician$283.4K$0
    Anjali ShethCOGlaucoma Specialist (Ophthalmology) Physician$234K$0
    Front Range Orthopedic Surgery Center LLCCOAmbulatory Surgical Clinic/Center$190.1K$0
    William CooneyCOSports Medicine (Orthopaedic Surgery) Physician$184.2K$0
    Timothy PaterCOOrthopaedic Hand Surgery Physician$183.1K$0
    Mansi ParikhCOGlaucoma Specialist (Ophthalmology) Physician$167.1K$0

    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. Colorado Distribution
    Matthew Manry — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado