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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Jason Ruggiero (NPI 1467635862)

Field	Value
Entity Type	Individual
Organization	Jason Ruggiero
Address	190 Campus Blvd
City	Winchester
State	VA
ZIP	22601
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 10, 2007

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

Practice focus and service mix: This NPI is a retina specialist whose Medicare billing profile is dominated by intravitreal pharmacologic therapy and retina imaging/procedures. The top Medicare codes include J0178, J2777, and J2778 (anti‑VEGF/anti‑angiogenic injections), with supplemental procedure and imaging work represented by 67028 and 92134, indicating a procedure‑centric retinal practice rather than a general ophthalmology clinic.

Revenue concentration in Medicare: The three drug injection codes J0178 (51.0%), J2777 (27.4%), and J2778 (8.6%) together account for the bulk of Medicare income — precomputed as 87.1% of the provider's total Medicare revenue — signaling very high revenue dependence on a narrow set of injectable therapies.

Payer mix and single‑payer exposure: Lifetime Medicare revenue is $2.5M while there is no Medicaid billing on file, so the provider is effectively single‑payer (Medicare) in scale. This lack of Medicaid activity concentrates payer risk and reimbursement exposure in the Medicare program.

Competitive standing for primary drugs: For the top drug codes the provider is a solid national participant but not a dominant outlier — J0178 ranks #604 of 3204 providers nationally (81th percentile; typical, unremarkable volume for this code), J2777 ranks #427 of 2039 (79th percentile; typical, unremarkable volume for this code), and J2778 ranks #370 of 1208 (69th percentile; typical, unremarkable volume for this code). These placements suggest consistent, above‑median activity in anti‑VEGF administration without being an extreme national leader.

Diagnostic imaging is an outlier: Code 92134 (computerized retinal imaging) shows 2.4K claims and $66.8K revenue (2.7% of Medicare revenue) but ranks #728 of 26868 providers nationally (97th percentile; extreme outlier). The provider’s unusually high volume of 92134 indicates much higher than typical OCT/imaging intensity relative to national peers, which can reflect a high‑throughput imaging workflow or a referral concentration for diagnostic retinal imaging.

Procedural mix versus E/M: Office visit and E/M codes contribute a small share of revenue (for example, 92014 $37K, 1.5% and 99213 $29.8K, 1.2%) while procedure and drug codes dominate. The profile shows a practice that generates most revenue from interventions and imaging rather than routine evaluation and management.

Operational implications of drug concentration: Heavy reliance on J0178 and J2777 for the majority of Medicare dollars (individual revenues of $1.3M and $682.1K respectively) makes the practice sensitive to changes in drug pricing, reimbursement policies, or shifts toward alternative therapies; procurement and coding accuracy for these drugs are therefore central to revenue stability.

Tenure and market presence: The provider’s NPI was enumerated on 2007-12-10 (~19 years ago), indicating a long‑established presence in the market. Combined with above‑median national ranks on several injection codes and the extreme outlier status on 92134, this tenure supports a sustained specialty practice with a strong diagnostic imaging footprint.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,840	$690	$1.3M
J2777	Injection, faricimab‑svoa, 0.1 mg	23,520	$30	$682.1K
J2778	Injection, ranibizumab, 0.1 mg	1,190	$180	$215K
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.	1,510	$90	$135.4K
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.	2,380	$30	$66.8K
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…	430	$90	$37K
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…	500	$60	$29.8K
J9035	Injection, bevacizumab, 10 mg	290	$50	$14.9K
99204	The provider sees a new 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 provider…	80	$110	$9.5K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	840	$10	$9.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Jason Ruggiero — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	33	80	1,400	$690	$1.1M
J2777	17	60	13,200	$30	$517.1K
J2778	9	40	560	$180	$171.5K
67028	33	90	1,000	$90	$107.1K
92014	234	870	170	$80	$32.8K
99214	10,100	12,890	140	$80	$21K
J9035	19	60	170	$50	$19.9K
92012	397	430	80	$60	$11.9K
99213	858	12,440	90	$60	$10K
92134	36	680	70	$30	$9.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Winchester Medical Center	VA	General Acute Care Hospital	$0	$69.9M
University Of Penn-medical Group	PA	Emergency Medicine Physician	$0	$21.5M
University Of Penn-medical Group	PA	Diagnostic Radiology Physician	$0	$17.7M
Winchester Medical Center	VA	Obstetrics & Gynecology Physician	$0	$10M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Winchester Medical Center	VA	Clinical Medical Laboratory	$2M	$4.8M
Peter Bracha	FL	Retina Specialist (Ophthalmology) Physician	$4M	$0
Leonid Lerner	CA	Ophthalmology Physician	$3.4M	$0
Andrew Mcfarland	VA	Retina Specialist (Ophthalmology) Physician	$3.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grafton School, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$92M
Grafton School Inc	VA	Psychiatric Residential Treatment Facility	$0	$33M
Shenandoah Valley Community Residences, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.4M
Compassionate Home Care	VA	In Home Supportive Care Agency	$0	$14.5M
Nova Family Services, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.5M
Uncle Sam Transportation LLC	VA	Taxi	$0	$12M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$11.2M
Pediatrix Medical Group PC	VA	Neonatal-Perinatal Medicine Physician	$0	$10.8M
Gaurav Agarwal Dds, Msd, PLLC	VA	Dental Clinic/Center	$0	$8.9M
Valley Regional Enterprises, Inc	VA	Urgent Care Clinic/Center	$0	$8.6M

Jason Ruggiero — 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