Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alan Ruby (NPI 1801828025)

Field	Value
Entity Type	Individual
Organization	Alan Ruby
Address	3555 W 13 Mile Rd
City	Royal Oak
State	MI
ZIP	48073
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: Total Medicare revenue is $2.4M while there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s payer mix. The NPI was enumerated on 2006-07-07 (~20 years ago), indicating long tenure in the Medicare program and sustained clinical activity.

Revenue concentration is high and dominated by intravitreal biologics: the precomputed top 3 Medicare codes by revenue account for 80.8% of this provider's total Medicare revenue. Those top codes are J0178, J2778, and J2777, signaling that anti‑VEGF and related retinal biologic injections drive the bulk of earnings.

J0178 (aflibercept) is the single largest revenue driver with $1.2M revenue and 48.6% of the provider’s Medicare revenue, supported by 1.7K claims at $687 avg paid/claim. Nationally this activity ranks #692 of 3204 providers (78th percentile; typical, unremarkable volume for this code), indicating strong but not dominant aflibercept injection volume relative to peers.

J2778 (ranibizumab) and J2777 (faricimab‑svoa) together represent substantial secondary revenue: J2778 generated $461.7K (19.3% of Medicare revenue) over 2.6K claims and ranks #142 of 1208 (88th percentile; typical, unremarkable volume), while J2777 generated $309.7K (12.9% of Medicare revenue) over 10.7K claims and ranks #972 of 2039 (52th percentile; typical, unremarkable volume). This mix reinforces a retina‑focused procedural practice with multiple biologics in use.

Office evaluation and management is a prominent activity beyond injections: 99214 produced $150.2K (6.3% of Medicare revenue) over 1.6K claims and ranks #3207 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume). The exceptionally high relative volume of 99214 visits suggests heavy follow‑up and medical management workload, consistent with chronic retinal disease care.

Diagnostic imaging and injection procedure codes further corroborate a retina specialty profile. 92134 (retina imaging) appears with 2.1K claims and $62.7K revenue, ranking #956 of 26868 providers (96th percentile; notably above typical national volume), and 67028 (intravitreal injection as an isolated procedure) shows 1.4K claims and $143.2K revenue, ranking #879 of 4255 providers (79th percentile; typical, unremarkable volume). These volumes indicate integrated imaging and injection workflows supporting the biologic regimen.

Competitive standing is mixed: the provider is not a national outlier on the main anti‑VEGF codes (J0178, J2778, J2777 are characterized as "typical, unremarkable volume") but is highly ranked on visit and imaging utilization (99214 at the 99th percentile and 92134 at the 96th percentile). In practice this means the clinician is a high‑volume manager of retinal patients (follow‑up and diagnostics) while injection volumes are strong but not at the very top tier nationally.

From a payer and operational perspective, the practice has concentrated revenue risk: with top biologic injection codes accounting for 80.8% of Medicare revenue and total Medicare revenue of $2.4M, any shifts in drug utilization, reimbursement, or referral patterns for injections could materially affect revenue. The absence of Medicaid billing simplifies payer exposure but also indicates little to no Medicaid patient base to diversify revenue streams.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,690	$690	$1.2M
J2778	Injection, ranibizumab, 0.1 mg	2,570	$180	$461.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,680	$30	$309.7K
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…	1,570	$100	$150.2K
67028	The 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.	1,420	$100	$143.2K
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.	2,090	$30	$62.7K
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…	510	$90	$44.9K
J3590	Unclassified biologics	180	$110	$19.8K
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…	90	$130	$11.3K
92235	The 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…	80	$110	$8.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Alan Ruby — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	20	110	680	$690	$630.2K
J2777	24	60	7,200	$30	$321K
J2778	7	50	730	$180	$240.5K
67028	21	160	440	$90	$57.6K
J3590	35	80	140	$80	$19.6K
92014	104	1,080	100	$80	$14.8K
99214	25	15,470	80	$80	$11.4K
92235	28	100	40	$100	$7.8K
92134	19	820	60	$30	$7.1K
99213	4,254	14,810	60	$60	$6.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$84.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$61.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstreet Urgent Care Of Michigan	MI	Urgent Care Clinic/Center	$0	$37.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Associated Retinal Consultants, PC	MI	Ophthalmology Physician	$0	$21.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Judson Center, Inc.	MI	Community/Behavioral Health Agency	$0	$21.2M
Allergy & Asthma Associates Of Mi PC	MI	Allergy & Immunology Physician	$0	$15.9M
Community Homes, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Sandeep Randhawa	MI	Retina Specialist (Ophthalmology) Physician	$7M	$0
American Anesthesiology Of Michigan PC	MI	Anesthesiology Physician	$0	$5.7M
Joshua Robinson	MI	Ophthalmology Physician	$3.7M	$0
Jeremy Wolfe	MI	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Tamer Mahmoud	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
George Williams	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kimberly Drenser	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0

Alan Ruby — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References