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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRyan Robetorye
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    Ryan Robetorye — Billing Profile & Reimbursement Data

    NPI 1497765291 · Scottsdale, AZ · Clinical Pathology/Laboratory Medicine Physician

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    Ryan Robetorye is a clinical pathology/laboratory medicine physician provider located in Scottsdale, Arizona. This profile covers 77 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRyan Robetorye
    Address13400 E Shea Blvd
    CityScottsdale
    StateAZ
    ZIP85259
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    RYAN ROBETORYE (Clinical Pathology/Laboratory Medicine Physician, SCOTTSDALE AZ) reports $2.3M in lifetime Medicare revenue and has no Medicaid billing on file, making this effectively a Medicare‑only billing profile. The provider’s NPI was enumerated 2006-08-08 (~20 years ago), indicating an established billing presence in Medicare over roughly two decades.

    The practice’s service mix is concentrated in specimen collection and routine clinical chemistry/hematology: the top codes are 36415 (venipuncture), 80053 (comprehensive metabolic panel), and 85025 (CBC). This combination — large volumes of blood draws coupled with high counts of CMP and CBC testing — is consistent with a high‑throughput laboratory or phlebotomy hub model that processes large numbers of outpatient specimens.

    Revenue concentration is high: the precomputed top-3 share shows the top 3 Medicare codes account for 52.0% of this provider's total Medicare revenue. Individually, 36415 accounts for $471.3K (22.8%), 80053 for $310.8K (15.0%), and 85025 for $293.9K (14.2%), indicating more than half of Medicare dollars hinge on routine draw plus two common panels.

    Competitive standing for core volume drivers is extreme: 36415 ranks #64 of 86467 providers nationally (100th percentile; extreme outlier), and both 80053 (rank #94 of 26416, 100th percentile; notably above typical national volume) and 85025 (rank #80 of 32833, 100th percentile; notably above typical national volume) are well above typical national volumes. These rankings characterize the provider as a national outlier for phlebotomy and basic lab testing volume rather than a modest local participant.

    Beyond the top trio, the provider bills a mix of monitoring and specialty analytes that support higher unit payments and niche services: 80197 (tacrolimus) generated $61.1K (3.0%) and 83970 (parathyroid hormone) generated $90.8K (4.4%), while P9073 (pathogen‑reduced platelets) produced $37.7K (1.8%) and P9040 (irradiated red blood cells) produced $15.4K (0.7%). The presence of tacrolimus monitoring plus billed blood components suggests the operation also supports transplant or transfusion‑related clinical workflows in addition to routine diagnostic testing.

    Many additional analytes show unusually high national footprints, reinforcing a broad, high‑volume menu: examples include 83735 (magnesium) $64.1K, rank #59 of 6938 (99th percentile; notably above typical national volume), 80048 (BMP) $63.6K, rank #105 of 14725 (99th percentile; notably above typical national volume), and 84100 (phosphate) $41.6K, rank #36 of 3118 (99th percentile; notably above typical national volume). This pattern is consistent with a centralized laboratory or outpatient draw site that captures large testing volumes across many common analytes.

    Payment profile highlights a low per‑claim reimbursement for the highest‑volume services (36415 $8 avg paid/claim, 80053 $10 avg paid/claim, 85025 $8 avg paid/claim) combined with mid‑to‑higher unit payments on select tests (e.g., 83970 $40 avg paid/claim, 83880 $38 avg paid/claim). For payers and contracting teams, this indicates revenue is driven primarily by claim volume for routine work and by unit price for a set of specialty tests.

    For payer analytics and network strategy, two salient points are (1) this is an effectively single‑payer (Medicare) operation with no Medicaid billing on file, concentrating financial exposure and utilization in Medicare, and (2) the heavy reliance on a small set of high‑volume codes (top 3 = 52.0%) means utilization management or contracting changes targeting routine draw and panel services could materially affect the provider’s Medicare revenue. The provider’s long tenure (~20 years) suggests an established relationship with Medicare workflows and potential continuity of high volumes absent operational changes.

    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.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.58,910$10$471.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.31,080$10$310.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…36,730$10$293.9K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…6,080$20$109.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…6,370$20$101.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.2,270$40$90.8K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…1,920$40$73K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.9,150$10$64.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…7,940$10$63.6K
    80197The lab analyst performs the technical lab test to analyze a specimen to quantitate the total amount of tacrolimus present, which is an immunosuppressant drug patients often use to prevent rejection…4,700$10$61.1K

    Showing 1–10 of 77

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    77 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305219270700$40$71.1K
    801973104,700$10$61.4K
    88185720920$20$61.2K
    P907311070$510$37.7K
    83970813080$40$33K
    86304310900$20$31.3K
    88341124210270$40$28.8K
    83880330110$40$23.6K
    88342199220160$50$20.6K
    8361531070$10$20.6K

    Showing 1–10 of 77

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Collaborative Services, IncMNClinical Medical Laboratory$6.5M$39.2M
    Mayo Clinic ArizonaAZGeneral Acute Care Hospital$0$12.5M
    John PitcherNMOphthalmology Physician$5.1M$0
    Sachin MehtaAZRetina Specialist (Ophthalmology) Physician$4.4M$11.8K
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Mayo Clinic ArizonaAZClinical Medical Laboratory$3.1M$76.8K
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0
    Richard HwangTXRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dsf Of The Valley, IncAZDurable Medical Equipment & Medical Supplies$0$27.4M
    Allison RosenthalAZHematology & Oncology Physician$1.9M$0
    Lisa SproatAZHematology & Oncology Physician$1.9M$0
    Cecilia Arana YiAZHematology & Oncology Physician$1.8M$0
    Januario CastroAZHematology & Oncology Physician$1.6M$0
    Nathan PunwaniAZHematology & Oncology Physician$1.6M$0
    Cassandra MooreAZHematology & Oncology Physician$1.5M$0
    Mohamad SonbolAZHematology & Oncology Physician$1.5M$0
    Ba NguyenAZDiagnostic Radiology Physician$1.4M$0
    Felipe MartinezAZNuclear Medicine Physician$1.3M$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. Arizona Distribution
    Ryan Robetorye — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona