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 & MedicaidRyan Hall
    Ask Trek AI about this page

    Ryan Hall — Billing Profile & Reimbursement Data

    NPI 1366761975 · Little Rock, AR · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Ryan Hall — 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.

    Ryan Hall is a hematology & oncology physician provider located in Little Rock, Arkansas. This profile covers 114 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
    OrganizationRyan Hall
    Address8901 Carti Way
    CityLittle Rock
    StateAR
    ZIP72205
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 21, 2010

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

    Payer SourceTotal Paid
    Medicare$4.6M
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single‑payer: total Medicare revenue is $4.6M and there is no Medicaid billing on file, indicating the practice’s public‑payer exposure is concentrated in Medicare beneficiaries rather than a mixed Medicare/Medicaid panel. That concentration creates operational dependence on Medicare reimbursement and case mix rather than on dual‑payer flows.

    Revenue is highly concentrated in a small set of high‑cost oncology drugs: the precomputed top three Medicare codes account for 64.5% of the provider’s Medicare revenue, driven by J9271 ($1.4M revenue, 33.1% of this provider's total Medicare revenue), J9299 ($888.5K revenue, 20.6% of this provider's total Medicare revenue), and J9173 ($466K revenue, 10.8% of this provider's total Medicare revenue). This concentration implies that price or utilization changes for a handful of immunotherapy agents would have outsized effects on practice revenue.

    The CPT/HCPCS mix shows an infusion‑centric oncology practice: dominant drugs are immunotherapies (J9271, J9299, J9173, J9022) alongside supportive and chemotherapy agents such as J0897 (denosumab), J2506 (pegfilgrastim), and J0885 (epoetin alfa). Combined with high volumes of chemo administration codes (96413, 96375, 96417), the data are consistent with an office or infusion center that primarily administers systemic cancer therapies and provides associated supportive care.

    Competitive standing on key biologics is above typical national volume for several agents: J9271 (pembrolizumab) ranks #86 of 1841 providers nationally at the 95th percentile and is described as "notably above typical national volume," while J9299 (nivolumab) ranks #41 of 505 providers at the 92th percentile and is also "notably above typical national volume." By contrast, J9173 (durvalumab) ranks #9 of 53 providers at the 85th percentile and is labeled "typical, unremarkable volume," indicating strong national presence for some immunotherapies but more conventional participation in others.

    Multiple administration and E/M codes are statistical outliers, signaling high treatment throughput and frequent patient encounters: 96413 ($97.7K, 2.3% of Medicare revenue) is a 99th‑percentile "extreme outlier, far above typical national volume," 96375 ($19.6K, 0.5%) is also a 99th‑percentile "extreme outlier," and 96417 ($15.9K, 0.4%) is a 99th‑percentile "extreme outlier." These flags indicate unusually high chemotherapy/infusion procedure volumes relative to national peers and reinforce the interpretation of a high‑throughput infusion operation.

    Office evaluation and management plus onsite labs support an integrated ambulatory oncology workflow: 99214 accounted for $102.9K (2.4% of Medicare revenue) and is ranked as a 98th‑percentile "extreme outlier, far above typical national volume," and lab codes 80053, 85025 and specimen collection 36415 are all in very high national percentiles. Together these findings suggest the provider conducts frequent, higher‑complexity follow‑up visits and performs or orders routine lab monitoring within the practice setting.

    Biosimilars and supportive biologics appear in the mix but at modest shares relative to the top immunotherapies: Q5126 (bevacizumab biosimilar) generated $116K (2.7% of Medicare revenue) but ranks at the 32th percentile nationally, and Q5115 (rituximab biosimilar) produced $72.8K (1.7%) and ranks at the 35th percentile. This pattern suggests some use of biosimilars and biologic alternatives but not yet a dominant biosimilar strategy versus peers.

    The provider has an established billing history with NPI enumeration on 2010-05-21 (~16 years ago), which, combined with concentrated Medicare revenue and high infusion volumes, points to a mature, specialty oncology practice that relies on recurrent systemic therapy administration. Given the lack of Medicaid billing on file, strategic or financial shifts that affect Medicare oncology payments or utilization of high‑cost immunotherapies would likely have immediate material impact on this practice’s revenue profile.

    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.

    114 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg33,200$40$1.4M
    J9299Injection, nivolumab, 1 mg37,020$20$888.5K
    J9173Injection, durvalumab, 10 mg7,640$60$466K
    J9022Injection, atezolizumab, 10 mg4,940$60$316.4K
    J0897Injection, denosumab, 1 mg13,680$20$246.2K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg2,230$50$116K
    J9264Injection, paclitaxel protein-bound particles, 1 mg11,200$10$112K
    J1437Injection, ferric derisomaltose, 10 mg6,800$20$108.8K
    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…1,180$90$102.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…1,140$90$97.7K

    Showing 1–10 of 114

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 114 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    114 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927154020,700$40$896.3K
    J929923015,660$20$432.9K
    J90222104,940$60$407.4K
    J91731105,110$60$310.2K
    Q51265103,210$60$174.1K
    J156911102,560$40$120.3K
    J143712206,450$20$107.8K
    J92643109,300$10$96.2K
    Q511517202,800$30$95.9K
    J0897141602,580$20$89.7K

    Showing 1–10 of 114

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Arkansas Radiation Therapy Institute IncARHematology & Oncology Physician$0$11M
    Central Arkansas Radiation Therapy Institute IncARRadiation Oncology Physician$6.7M$3.6M
    Kamal PatelARHematology & Oncology Physician$5.7M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Lawrence MendelsohnARHematology & Oncology Physician$3.4M$0
    Jamie BurtonARHematology & Oncology Physician$2.8M$0
    Kewen JaussARHematology & Oncology Physician$2.8M$0
    Mariann HarringtonARHematology & Oncology Physician$2.7M$0
    Appalanaidu SasapuARHematology & Oncology Physician$2.6M$0
    Derek MiddletonARHematology & Oncology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARGeneral Acute Care Hospital$0$87.2M
    University Of Arkansas For Medical SciencesARInternal Medicine Physician$0$28.6M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Arkansas Department Of Health ImmunizationsARPublic Health or Welfare Agency$0$19.3M
    Baptist HealthARGeneral Acute Care Hospital$0$16.4M
    Arkansas Department Of Health Family Planning ClinicARPublic Health or Welfare Agency$0$15.6M
    Pediatrix Medical Group Of Arkansas PAARNeonatal-Perinatal Medicine Physician$0$14.6M
    Chenal Family Therapy, PlcARMental Health Counselor$0$12.2M
    Francis A. Allen School For Exceptional Children, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.9M
    Arkansas Department Of Health StdARPublic Health or Welfare Agency$0$8.4M

    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. Arkansas Distribution
    Ryan Hall — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas