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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCecinio Ronquillo
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    Cecinio Ronquillo — Billing Profile & Reimbursement Data

    NPI 1679968580 · Colorado Springs, CO · Ophthalmology Physician

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    Cecinio Ronquillo is a ophthalmology physician provider located in Colorado Springs, Colorado. This profile covers 16 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
    OrganizationCecinio Ronquillo
    Address2770 N Union Blvd Ste 140
    CityColorado Springs
    StateCO
    ZIP80909
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 30, 2015

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider is an ophthalmology physician in Colorado Springs with a long Medicare billing history — NPI enumerated on 2015-03-30 (~11 years ago) — indicating an established outpatient eye care practice with sustained participation in Medicare. The tenure suggests familiarity with Medicare billing workflows and an established referral or patient base in the region.

    Medicare is effectively the sole public payer in this dataset: total Medicare revenue is $2.1M while there is no Medicaid billing on file, so the provider operates as a Medicare-centric practice with negligible or no Medicaid participation. This payer mix implies commercial and Medicare lines likely anchor the practice’s revenue rather than Medicaid.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 79.6% of the provider’s total Medicare revenue, showing the practice depends heavily on a small set of injection therapies and related services. Those dominant codes are J2777, J0178, and J2778, consistent with a practice focused on intravitreal pharmacologic treatment for retinal disease.

    The single largest revenue driver is J2777 (faricimab) with $732.5K in Medicare revenue (35.1% of the provider’s Medicare total). This indicates a major focus on in-office biologic injections for retinal disease management; combined with sizable volumes of J0178 (aflibercept, $682.7K) and J2778 (ranibizumab, $246.7K), the clinical footprint is centered on retinal injection therapy as a core service line rather than broad general ophthalmology procedures.

    In competitive standing for those top drug codes the provider is a modest-to-typical national participant: J2777 ranks #380 of 2039 providers (81th percentile) and J0178 ranks #1282 of 3204 providers (60th percentile), both described as typical or unremarkable volumes. By contrast, the provider’s volume for J2778 is more prominent nationally (ranks #325 of 1208, 73th percentile), showing relatively stronger positioning for ranibizumab among peers while still within a typical range.

    Several auxiliary ophthalmology services support the injection business but at lower revenue shares: 92134 (retinal imaging) generated $66.8K and ranks in the 96th percentile nationally, noted as notably above typical national volume for this code, suggesting the practice performs high levels of retinal imaging to support intravitreal therapy. Procedure codes for vitreoretinal surgery (e.g., 67028, 67042) appear at much smaller revenue shares, indicating the practice is primarily medical retina with some surgical capability but not dominated by operative retinal surgery.

    Procedure-level statistical outliers highlight referral or practice pattern nuances: 99204 (new patient E/M, moderate complexity) is described as an extreme outlier (99th percentile) with $29.4K revenue, which may reflect episodic high-complexity new patient visits or local referral intake patterns that exceed national norms. Similarly, 92134’s 96th-percentile designation signals above-typical imaging utilization tied to the injection-heavy service mix.

    The absence of any Medicaid billing on file combined with a concentrated Medicare revenue base suggests payers and contracting teams should view this entity as a specialized, Medicare-focused retinal injection provider. For network planning or competitive analysis, the practice should be categorized as a clinically specialized, injection-centric ophthalmology provider with established imaging support and modest surgical volume, rather than a broad-spectrum ophthalmology group dependent on Medicaid patient flow.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg25,260$30$732.5K
    J0178Injection, aflibercept, 1 mg1,000$680$682.7K
    J2778Injection, ranibizumab, 0.1 mg1,350$180$246.7K
    67028The 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.1,300$100$127.7K
    92014An 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…760$90$69.1K
    92134The 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.2,090$30$66.8K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…390$110$42.7K
    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…240$120$29.4K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…340$70$25.1K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$880$22.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782360740$690$618.3K
    J27776408,910$30$456.1K
    J2778720600$180$199.7K
    670281680670$100$73.3K
    67036193020$1,100$37.3K
    6704293020$1,140$29.6K
    67108172020$1,260$26.5K
    J79992150230$70$21.5K
    9201431670100$80$15.2K
    9223565050$110$12.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Retina Consultants Of Southern Colorado P CCOOphthalmology Physician$0$9M
    University Of Utah Adult ServicesUTEmergency Medicine Physician$0$6.9M
    James LuuCORetina Specialist (Ophthalmology) Physician$4.1M$0
    University Of Utah Adult ServicesUTDiagnostic Radiology Physician$0$4M
    University Of Utah Adult ServicesUTInternal Medicine Physician$0$3.5M
    Ramin SarrafizadehCORetina Specialist (Ophthalmology) Physician$3.4M$0
    Adam MartidisCORetina Specialist (Ophthalmology) Physician$3.4M$0
    University Of Utah Adult ServicesUTOphthalmology Physician$0$3.1M
    Ryan RichCOOphthalmology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Voyager Home Health Care LLCCOHome Health Agency$0$69.7M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Rocky Mountain Health Care ServicesCOPACE Provider Organization$0$38.5M
    Buck Jack LLCCOSpeech-Language Pathologist$0$32.7M
    Mountain View Home Care Inc.COIn Home Supportive Care Agency$0$19.3M
    Emergency Medical Specialists, PCCOEmergency Medicine Physician$0$13.2M
    Colorado Domestic Care Inc.COHome Health Agency$0$11.6M
    Radiology & Imaging Consultants PCCODiagnostic Radiology Physician$0$9.5M
    Hero Dental Of Springs PCCOGeneral Practice Dentistry$0$9.3M
    Akvc Central LLCCOPediatric Optometrist$0$8.8M

    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
    Cecinio Ronquillo — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado