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    OpenPayerNPI Medicare & MedicaidRyan Rush
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    Ryan Rush — Billing Profile & Reimbursement Data

    NPI 1720260151 · Amarillo, TX · Ophthalmology Physician

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    Ryan Rush is a ophthalmology physician provider located in Amarillo, Texas. This profile covers 26 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 Rush
    Address7411 Wallace Blvd
    CityAmarillo
    StateTX
    ZIP79106
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 27, 2007

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

    Payer SourceTotal Paid
    Medicare$9.7M
    Medicaid$0

    Key Findings

    This provider’s revenue footprint is concentrated almost entirely in Medicare: Total Medicare revenue is $9.7M while Medicaid revenue is none (no Medicaid billing on file), making the practice effectively single-payer from a public program perspective. Analysts should treat Medicare performance as the comprehensive signal of publicly billed activity for this NPI.

    Revenue concentration is extreme among a few codes: the top 3 Medicare codes by revenue account for 78.4% of this provider's total Medicare revenue, driven by J2777 (57.8%), J3490 (12.6%), and J0178 (7.9%). This level of concentration indicates the business is highly dependent on a small set of drug and injection-related services.

    The clinical mix strongly indicates a retina-focused, high-throughput injection practice. J2777 shows 194.5K claims and $5.6M revenue, and J0178 shows 1.1K claims and $773.7K revenue, while 67028 records 4.9K claims and $425K revenue — together these codes point to routine intravitreal injections as the core service line.

    High diagnostic and imaging volumes support the injection-heavy model: 92134 has 5K claims and $144.2K revenue (100th percentile; extreme outlier), 92235 has 2.9K claims and $290.5K revenue (100th percentile; extreme outlier), and 92242/92240 also show elevated ranks. The mix of multiframe angiography and retinal imaging suggests integrated diagnostics to manage retinal disease in an outpatient setting.

    Competitive standing is national leadership on several codes: J2777 ranks #3 of 2039 providers nationally (100th percentile; extreme outlier), 99214 ranks #27 of 479517 providers (100th percentile; extreme outlier), and 67028 ranks #10 of 4255 providers (100th percentile; extreme outlier). These ranks indicate this NPI operates at volumes far above typical peers for multiple high‑revenue services.

    Payment characteristics vary across the top drugs and reflect different revenue drivers: J2777 has a low avg paid/claim ($29) but yields $5.6M revenue due to very large volume, while J3490 reports $1778 avg paid/claim and $1.2M revenue, and J0178 averages $692 paid/claim for $773.7K revenue. The presence of J3490 as the second-largest revenue contributor signals material billing under an unclassified drug code, which can represent varied or higher‑priced injectables categorized outside specific HCPCS.

    Procedural surgical activity is present but limited relative to injection and imaging volume: 67042 (vitrectomy with ILM peeling) shows 101 claims and $88.6K revenue and is labeled notably above typical national volume, whereas other surgery codes (67108, 67036) appear at much lower volumes. This pattern suggests the practice focuses primarily on outpatient injections and diagnostics with selective complex surgical cases.

    The provider has an established enrollment history, with NPI enumerated 2007-11-27 (~19 years ago), indicating long tenure in the Medicare program. Combined with the high-volume rankings on multiple outpatient service codes, the data depict a long-standing, specialized retinal practice with national-scale activity in specific injection and imaging codes.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg194,460$30$5.6M
    J3490Unclassified drugs690$1,780$1.2M
    J0178Injection, aflibercept, 1 mg1,120$690$773.7K
    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…4,740$90$431.6K
    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.4,890$90$425K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg1,750$180$305.4K
    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…2,880$100$290.5K
    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.4,970$30$144.2K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…730$190$140.1K
    92240The provider uses a special dye, indocyanine–green (ICG), to take photographs of the vessels of the inner eye similar to that done for codes 92230/92235, which use fluorescein dye. He interprets the…900$140$127.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017867210610$690$694.9K
    J277711407,470$30$479.2K
    Q51242101,140$170$183.8K
    670282290510$90$73K
    92240310230$140$66.9K
    J3490935060$480$54.4K
    6704269020$1,150$41.3K
    67036407020$1,000$29.1K
    67108376020$1,170$28.1K
    6721083040$370$25.7K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason YsasagaTXOphthalmology Physician$9.9M$0
    Christopher FisherOKInternal Medicine Physician$7.6M$0
    Antonio AragonTXOphthalmology Physician$7.3M$0
    Brian PhelpsOKRetina Specialist (Ophthalmology) Physician$4.1M$0
    Christopher FullerTXOphthalmology Physician$3.6M$0
    Constantine SaadehTXRheumatology Physician$3.6M$0
    Michael HoodOKRetina Specialist (Ophthalmology) Physician$3.5M$0
    Jim LuILAnatomic Pathology Physician$2.7M$584.1K
    Ashok ReddyNMOphthalmology Physician$3.2M$0
    Joseph WolcottTXUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Texas Healthcare System IncTXGeneral Acute Care Hospital$0$44.8M
    Amarillo Independent School DistrictTXLocal Education Agency (LEA)$0$17.5M
    Epic Health Services, Inc.TXHome Health Agency$0$13.8M
    Britkare Home Medical Of Texas LtdTXDurable Medical Equipment & Medical Supplies$0$12.6M
    Texas Panhandle Mental Health Mental RetardationTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.6M
    Apc-amarillo Surgical Operating Company, LLCTXAmbulatory Surgical Clinic/Center$4.8M$380
    Amarillo Cataract And Eye Surgery Center LtdTXOphthalmologic Surgery Clinic/Center$3.8M$77.7K
    Janet SchwartzenbergTXRheumatology Physician$2.6M$0
    James StaffordTXRadiation Oncology Physician$1.5M$0
    Psg Surgery Center LLCTXAmbulatory Surgical Clinic/Center$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. Texas Distribution
    Ryan Rush — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas