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

    NPI 1780634782 · Edmond, OK · Retina Specialist (Ophthalmology) Physician

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    Ryan Ridges is a retina specialist (ophthalmology) physician provider located in Edmond, Oklahoma. This profile covers 20 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 Ridges
    Address1851 S Kelly Ave Ste A
    CityEdmond
    StateOK
    ZIP73013
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 11, 2006

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

    Payer SourceTotal Paid
    Medicare$3.6M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the claims data: total Medicare revenue is $3.6M and there is no Medicaid billing on file. Analysts should treat this profile as Medicare-dominant when modeling payer mix, access, or reimbursement exposure because Medicaid does not contribute measurable revenue.

    Revenue is highly concentrated in a small set of retina/injection codes: the precomputed top-3 Medicare codes (J0178, J2777, 67028) account for 84.3% of this provider's total Medicare revenue. The three largest individual contributors are J0178 (58.8% of Medicare revenue, $2.1M), J2777 (19.0% of Medicare revenue, $682.1K) and 67028 (6.5% of Medicare revenue, $234.4K), indicating dependence on intravitreal therapies and the separate injection procedure.

    The procedure mix points to a high-throughput retina/injection clinic model: J0178 (aflibercept) shows 3.1K claims at $686 avg paid/claim and J2777 (faricimab) shows 23.5K claims at $29 avg paid/claim, while 67028 appears as the billed injection procedure (2.8K claims, $85 avg paid/claim). Together these codes and volumes are consistent with frequent anti-VEGF administration and routine billing of the intravitreal injection service rather than a clinic focused on infrequent surgeries.

    The provider ranks well above peers on several core retina measures, signaling strong competitive standing nationally for procedural volume. J0178 ranks #169 of 3204 providers (95th percentile; notably above typical national volume) and 67028 ranks #125 of 4255 (97th percentile; notably above typical national volume), while imaging and exam codes such as 92014 (rank #229 of 35415, 99th percentile; extreme outlier) and 92134 (rank #129 of 26868, 100th percentile; extreme outlier) also appear as outliers, indicating this clinician is a high-volume national contributor on both therapeutic and diagnostic retina codes.

    Some high-volume code-level patterns are mixed in statistical characterization: J2777 posts very large absolute claims (23.5K) but is classified as a typical/unremarkable volume placement (rank #427 of 2039, 79th percentile), whereas 92014 and 92134 are labeled extreme outliers and therefore reflect unusually high exam and OCT utilization relative to national peers. These distinctions suggest the practice combines a conventional anti-VEGF mix with unusually intensive diagnostic/exam throughput.

    The clinical code mix (large shares for J0178 and J2777 plus high counts for 92134 and 92014) implies routine management of chronic retinal disease requiring repeated intravitreal injections and frequent retinal imaging. This operational profile is consistent with managing neovascular retinal conditions (for example, AMD or diabetic macular edema) where both high-cost biologic drugs and serial imaging drive revenue.

    The concentration in a few high-revenue codes creates sensitivity to therapeutic and reimbursement shifts: with J0178 alone representing $2.1M and the top three codes making up 84.3% of Medicare revenue, any changes in anti-VEGF utilization patterns, drug pricing, or coverage policy could materially affect revenue. Payers and network planners should note this single-service concentration when forecasting utilization or negotiating network participation.

    Longitudinal stability is suggested by provider tenure: the NPI was enumerated 2006-05-11 (~20 years ago), indicating an established practice that has accumulated high volume over time. Combined with the high national ranks on key retina codes, this tenure supports a picture of a long-standing, procedure-focused retina specialist with entrenched referral and treatment workflows.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,080$690$2.1M
    J2777Injection, faricimab‑svoa, 0.1 mg23,520$30$682.1K
    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.2,760$90$234.4K
    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…2,040$80$163.5K
    J2778Injection, ranibizumab, 0.1 mg670$180$121.6K
    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.4,010$30$108.3K
    J9035Injection, bevacizumab, 10 mg1,090$60$59.7K
    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…250$110$28.2K
    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…280$60$17.5K
    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…190$80$15.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178430790$690$801.2K
    J277792023,040$30$781.1K
    J2778310420$180$173.2K
    67028240720$80$88.9K
    J9035330330$50$23.5K
    9223562060$100$19.5K
    992142,2115,560130$70$18.4K
    920144550130$70$16.6K
    6722851030$240$10.4K
    992139015,45080$50$8.7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian PhelpsOKRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sandeep ShahOKRetina Specialist (Ophthalmology) Physician$3.9M$0
    Michael HoodOKRetina Specialist (Ophthalmology) Physician$3.5M$0
    David GrasicOKRetina Specialist (Ophthalmology) Physician$697.6K$0
    Crystal RemingtonMOOptometrist$52.2K$0
    Sahab AstaniOKOptometrist$40.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Care Pediatrics, Inc.OKHome Health Agency$0$44.8M
    Medical Resource Management, LLCOKUrgent Care Clinic/Center$0$14.9M
    Oklahoma Arthritis Center, P.C.OKRheumatology Physician$0$10.1M
    Craig CarsonOKRheumatology Physician$9.7M$0
    Sand Lily Healthcare, Inc.OKIn Home Supportive Care Agency$0$8.9M
    Christopher FisherOKInternal Medicine Physician$7.6M$0
    Summit Medical CenterOKGeneral Acute Care Hospital$0$7.1M
    Ana KumarOKRheumatology Physician$4.1M$0
    Pathways Professional Counseling LLCOKCommunity/Behavioral Health Agency$0$3.4M
    Keshav PandayOKSpecialist$3.3M$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. Oklahoma Distribution
    Ryan Ridges — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma