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    OpenPayerNPI Medicare & MedicaidCullen Ryburn
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    Cullen Ryburn — Billing Profile & Reimbursement Data

    NPI 1679950976 · Loveland, CO · Ophthalmology Physician

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    Cullen Ryburn is a ophthalmology physician provider located in Loveland, Colorado. This profile covers 11 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
    OrganizationCullen Ryburn
    Address2975 Ginnala Dr Ste 120
    CityLoveland
    StateCO
    ZIP80538
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 6, 2015

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

    Payer SourceTotal Paid
    Medicare$312.8K
    Medicaid$0

    Key Findings

    CULLEN RYBURN is an Ophthalmology Physician in LOVELAND, CO with an NPI enumerated (registered) date of 2015-05-06 (~11 years ago). The provider’s lifetime Medicare revenue on file is $312.8K and there is none (no Medicaid billing on file), indicating the public payer footprint is effectively single-payer Medicare at present.

    Revenue is highly concentrated in a small set of procedures: the precomputed top three Medicare codes (66984, 66821, 99204) account for 82.0% of this provider’s total Medicare revenue. The largest contributor is 66984 at $205.6K (65.7% of Medicare revenue), followed by 66821 at $27.2K (8.7%) and 99204 at $23.6K (7.6%).

    The code mix is consistent with a cataract-focused surgical practice supported by office-based diagnostics and new-patient evaluations. 66984 (cataract extraction with IOL insertion) dominates revenue at $205.6K, and complementary codes such as 66821 (YAG capsulotomy) and 92136 (IOL biometry, $18K, 5.7%) reflect the downstream diagnostics and post‑op care that typically accompany a cataract service line.

    Competitive standing varies by code: for cataract extraction 66984 the provider ranks #2696 of 15965 nationally (83th percentile; typical, unremarkable volume), and for posterior capsulotomy 66821 they rank #2262 of 10087 (77th percentile; typical, unremarkable volume), indicating solid but not dominant national placement in routine cataract services. By contrast, the provider’s use of 99204 (new patient, moderate complexity) ranks #4110 of 227068 (98th percentile; extreme outlier, far above typical national volume), signaling an unusually high volume of initial new-patient consults relative to peers.

    Operationally, the unusually high volume of 99204 (211 claims, $112 avg paid/claim, $23.6K revenue; 7.6% of Medicare revenue) suggests strong referral intake or a practice workflow that emphasizes detailed new-patient evaluations, which may feed the surgical cataract pipeline represented by 66984. That pattern — heavy new-patient evaluations plus concentrated surgical throughput — points to a practice organized around intake-to-surgery conversion.

    The absence of any Medicaid billing on file (none below) makes this provider effectively single‑payer (Medicare) in the available public claims data. For payer strategy or risk assessment, that concentration implies limited exposure to Medicaid reimbursement dynamics and potential sensitivity to Medicare policy or patient population shifts.

    Ancillary diagnostic and imaging codes appear consistent with a full cataract workflow: 92136 (biometry) shows 599 claims and $18K revenue and ranks #429 of 8731 providers nationally (95th percentile; notably above typical national volume), while retinal imaging 92134 appears at lower volume ($1.2K, 0.4% of revenue). These diagnostics support the surgical services and underline a practice that performs both preoperative measurements and postoperative care in-house.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…570$360$205.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.100$260$27.2K
    99204The 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…210$110$23.6K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…600$30$18K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$520$10.8K
    65400In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,…20$470$9.9K
    99213The 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…110$70$7.5K
    99214The 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$90$5.8K
    99203The provider sees a new 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 provider…20$80$1.9K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.50$30$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984828070$570$97.1K
    66982186030$690$24.2K
    668211418040$240$15.5K
    992141,1238,16080$80$11.3K
    9213411444060$30$7.8K
    992136907,20070$60$6.6K
    921363140130$30$5K
    99204153,67030$110$4.7K
    992034242,65030$70$3.1K
    9202546030$20$1.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Vance Thompson Vision Surgery Center Prof LLCSDAmbulatory Surgical Clinic/Center$4.5M$22.7K
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Ali Torab ParhizIDOphthalmology Physician$4.3M$7.8K
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Cheyenne County Hospital Association IncNECritical Access Hospital$0$3.8M
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Arthur KorotkinCOOphthalmology Physician$3.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tender Care Pediatric Services, IncCODurable Medical Equipment & Medical Supplies$0$38.3M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$30.4M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    North Colorado Medical CenterCOGeneral Acute Care Hospital$0$8.2M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Summit PathologyCOClinical Medical Laboratory$670.1K$4.3M
    Medical Center Of The RockiesCOGeneral Acute Care Hospital$0$4.8M
    Ryan WolfCOPhysician Assistant$4.6M$0
    Thompson Valley Emergency Medical Services IncCOLand Ambulance$1.1M$3.3M
    Summit PathologyCOAnatomic Pathology & Clinical Pathology Physician$0$4.4M

    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. Colorado Distribution
    Cullen Ryburn — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado