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NPI 1528298593 · Lancaster, PA · Optometrist
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Ryan Yealy is a optometrist provider located in Lancaster, Pennsylvania. This profile covers 10 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ryan Yealy |
| Address | 244 N Queen St |
| City | Lancaster |
| State | PA |
| ZIP | 17603 |
| Taxonomy | Optometrist |
| NPI Enumerated | July 23, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $284.2K |
| Medicaid | $42.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 200 | $970 | $191.9K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 690 | $100 | $67.3K |
| 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… | 140 | $70 | $9.3K |
| 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… | 50 | $110 | $5.8K |
| 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… | 40 | $90 | $3.3K |
| 83861 | The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye. | 130 | $20 | $2.8K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 30 | $40 | $1.5K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 50 | $30 | $1.1K |
| 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. | 30 | $30 | $730 |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 20 | $20 | $440 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 65778 | 2 | 30 | 30 | $1,000 | $59.3K |
| 99214 | 17,774 | 23,230 | 100 | $80 | $14.5K |
| 68761 | 2 | 140 | 40 | $140 | $11.9K |
| 92134 | 1,008 | 1,320 | 60 | $30 | $8.4K |
| 99213 | 6,109 | 22,370 | 70 | $60 | $7.7K |
| 83861 | 53 | 110 | 120 | $20 | $5.8K |
| 99204 | 2,583 | 10,290 | 30 | $110 | $5K |
| 92083 | 843 | 1,310 | 50 | $40 | $4.1K |
| 92250 | 732 | 1,270 | 60 | $30 | $2.9K |
| 92133 | 1,070 | 1,270 | 50 | $20 | $2.4K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| V2020 | Frames, purchases | 250 | $70 | $17.6K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 300 | $30 | $9.1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 100 | $40 | $4.1K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 110 | $30 | $3.4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 100 | $20 | $2.5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 70 | $30 | $2.1K |
| 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… | 20 | $90 | $1.3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 40 | $20 | $960 |
| 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… | 20 | $50 | $680 |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 280 | $1 | $560 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 434 | 620 | 350 | $30 | $64.6K |
| 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… | 7,980 | 8,870 | 240 | $40 | $56.1K |
| V2020 | Frames, purchases | 583 | 1,020 | 400 | $30 | $45.5K |
| 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… | 767 | 860 | 240 | $40 | $37K |
| 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… | 1,106 | 1,410 | 60 | $90 | $30.5K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 381 | 650 | 170 | $40 | $28.7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 434 | 520 | 400 | $10 | $28.1K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 3 | 10 | 50 | $40 | $18.5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 315 | 500 | 130 | $30 | $14.7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 91 | 380 | 90 | $40 | $10.6K |
Showing 1–10 of 11
Other providers in the same ZIP code as Ryan Yealy, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| T.w. Ponessa & Associates Counseling Services, Inc. | PA | Community/Behavioral Health Agency | $0 | $63.5M |
| Union Community Care | PA | Federally Qualified Health Center (FQHC) | $0 | $21.2M |
| The County Of Lancaster | PA | Case Management Agency | $0 | $17M |
| Lancaster Emergency Medical Services Association | PA | Land Ambulance | $2.1M | $10.9M |
| Ars Of Lancaster, LP | PA | Methadone Clinic | $163.8K | $8.3M |
| The County Of Lancaster | PA | Case Manager/Care Coordinator | $0 | $8.2M |
| Childrens Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $0 | $8.1M |
| Glenn Kline | PA | Surgery Physician | $743.4K | $460 |
| Francis Manning | PA | Ophthalmology Physician | $526.4K | $0 |
| Adam Thode | PA | Ophthalmology Physician | $395K | $0 |
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