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

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

Matthew Ryan (NPI 1487730271)

Field	Value
Entity Type	Individual
Organization	Matthew Ryan
Address	301 University Blvd
City	Galveston
State	TX
ZIP	77555
Taxonomy	Otolaryngology Physician
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicare	$62.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	230	$140	$33.1K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	40	$250	$9.2K
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…	70	$120	$7.8K
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…	70	$100	$6.7K
61782	In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…	20	$140	$3.1K
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…	50	$60	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Matthew Ryan — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	20,723	32,500	110	$80	$17.6K
31237	54	120	40	$270	$12.8K
31231	21	450	50	$130	$10.2K
99213	18,806	29,790	70	$60	$8.4K
99204	4,008	16,380	30	$110	$5.6K
61782	10	30	20	$140	$3.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Texas Medical Branch At Galveston	TX	General Acute Care Hospital	$0	$150.3M
Utmb Faculty Group Practice	TX	General Practice Physician	$0	$98.9M
Qi Chen	TX	Diagnostic Radiology Physician	$253.3K	$78.2K
Jaafer Imam	TX	Critical Care Medicine (Internal Medicine) Physician	$301.1K	$0
Muhie Dean Sabayon	TX	Clinical Cardiac Electrophysiology Physician	$238K	$0
Cameron Ghaffary	TX	Surgery Physician	$235.9K	$0
Audrey Nath	TX	Neurological Surgery Physician	$210.5K	$0
Tomas Uribe Acosta	TX	Diagnostic Radiology Physician	$170.9K	$0
Murtaza Mazhar	TX	Cardiovascular Disease Physician	$150.5K	$0
Todd Swanson	TX	Radiation Oncology Physician	$137.7K	$0

Matthew Ryan — Billing Profile & Reimbursement Data

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

Matthew Ryan — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References