Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Shawn Ronan (NPI 1386762227)

Field	Value
Entity Type	Individual
Organization	Shawn Ronan
Address	3800 Park Nicollet Blvd
City	St Louis Park
State	MN
ZIP	55416
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 27, 2007

Payer Source	Total Paid
Medicare	$909.4K
Medicaid	$0

Key Findings

Practice profile & procedure mix: SHAWN RONAN is a retina specialist whose Medicare billing is dominated by intravitreal pharmacologic therapy and retina-specific procedures, led by J0178 (aflibercept) and J2777 (faricimab). The presence of high-volume injection codes (J0178: 596 claims; J2777: 8.3K claims) alongside retina imaging (92134) and retina-specific procedure 67028 indicates an operation focused on chronic medical retina management rather than general ophthalmology or high-volume surgical cases. Office visit codes (99213/99214) are also used, supporting a clinic-based follow-up model.

Revenue concentration: The provider’s top three Medicare codes account for 78.8% of total Medicare revenue, with J0178 alone representing $401.7K (44.2% of Medicare revenue), J2777 contributing $240.1K (26.4%), and 67028 adding $75K (8.2%). This concentration shows the practice’s revenue is heavily dependent on a few high-revenue retinal therapies and procedures, making payer coverage and drug reimbursement rates for these codes material to the business.

Payer mix and scale: Lifetime Medicare revenue on file is $909.4K while there is no Medicaid billing on file, so the provider is effectively a single-payer (Medicare) biller in the available dataset. Absence of Medicaid activity suggests limited exposure to state Medicaid policy changes and contracting, and implies Medicare reimbursement dynamics will drive most revenue risk and opportunity.

Competitive standing on drug injections: High-revenue injection codes show modest national standing rather than dominance; J0178 ranks #1781 of 3204 providers nationally (44th percentile; typical, unremarkable volume for this code) and J2777 ranks #1148 of 2039 providers nationally (44th percentile; typical, unremarkable volume for this code). Those placements indicate reasonable, expected utilization of these agents for a practicing retina specialist but not a high-volume national outlier or market leader for these specific drugs.

Clinic throughput and diagnostic imaging: The provider reports 1.3K claims for 92134 yielding $36.9K (4.1% of Medicare revenue) and ranks #1779 of 26868 providers nationally (93th percentile) with the label "typical, unremarkable volume for this code"; concurrently, 99213 is 534 claims and $34.2K (3.8% of revenue) and ranks #24056 of 457151 providers nationally (95th percentile; notably above typical national volume for this code). Together these findings suggest steady outpatient clinic throughput and consistent use of retinal OCT/diagnostic imaging paired with above-typical face-to-face established-patient visits relative to national peers.

Service-level nuance beyond injections: The practice bills multiple anti-VEGF and related agents (J0178 aflibercept, J2777 faricimab, J2778 ranibizumab, J9035 bevacizumab) and reports separate intravitreal injection procedure billing (67028: 806 claims, $75K). This mix reflects active management of neovascular retinal disease using both newer and established injectable therapies plus procedure-level coding for standalone injections, which matters for drug mix, inventory, and billing workflows.

Tenure and scale implications: The provider’s NPI was enumerated on 2007-03-27 (~19 years ago), indicating a long-established practice presence. Coupled with lifetime Medicare revenue of $909.4K and concentrated revenue in a few retinal therapies, the profile is consistent with an experienced specialty clinician running a stable, clinic-centered retina practice rather than a large multi-site surgical enterprise.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	600	$670	$401.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,280	$30	$240.1K
67028	The 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.	810	$90	$75K
J2778	Injection, ranibizumab, 0.1 mg	310	$180	$56.8K
92134	The 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.	1,270	$30	$36.9K
99213	The 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…	530	$60	$34.2K
99214	The 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…	270	$100	$25.9K
J9035	Injection, bevacizumab, 10 mg	440	$50	$20.9K
92014	An 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…	150	$60	$8.9K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	30	$110	$3.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Shawn Ronan — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	22	40	580	$690	$743.4K
J2777	10	20	6,120	$30	$411.1K
J2778	12	20	500	$180	$121K
67028	19	80	420	$90	$64.8K
J9035	10	40	220	$50	$16.9K
92014	318	830	100	$80	$11.9K
99214	711	10,100	70	$80	$8.1K
92235	21	40	40	$110	$6.9K
92134	17	580	40	$30	$4.8K
99213	48	9,120	50	$50	$4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Tria Orthopaedic Center LLC	MN	Orthopaedic Surgery Physician	$0	$7.3M
Group Health, Inc.	MN	Pediatric Dentistry	$0	$5.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tactile Systems Technology, Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$97.5M
Associated Clinic Of Psychology Inc	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$72.7M
Blue & White Service Corporation	MN	Taxi	$0	$39M
Iska Inc	MN	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Caring Sisters Home Care Services, Inc	MN	Assisted Living Facility	$0	$8.8M
The Wayside House, Inc	MN	Substance Abuse Rehabilitation Facility	$0	$7.9M
Medical Scanning Consultants PA	MN	Diagnostic Radiology Physician	$0	$7.5M
Life Medical, P.A.	MN	Multi-Specialty Clinic/Center	$0	$4.6M
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Surgicare Of Minneapolis Ltd	MN	Ambulatory Surgical Clinic/Center	$1.4M	$0

Shawn Ronan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References