Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRyan Wong
    Ask Trek AI about this page

    Ryan Wong — Billing Profile & Reimbursement Data

    NPI 1922234798 · Tucson, AZ · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Ryan Wong — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ryan Wong is a retina specialist (ophthalmology) physician provider located in Tucson, Arizona. This profile covers 18 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRyan Wong
    Address6585 N. Oracle Rd
    CityTucson
    StateAZ
    ZIP85704
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 5, 2009

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider appears to operate primarily as a retina-focused ophthalmology practice concentrated on intravitreal pharmacologic therapy: the three highest-revenue Medicare codes are J0178, J2777 and 67028, and the top 3 codes account for 81.7% of total Medicare revenue. The prominence of J0178 (aflibercept) and J2777 (faricimab) indicates a service line built around anti-VEGF injections for posterior-segment retinal disease, while 67028 confirms frequent isolated intravitreal injection procedures apart from other ocular surgeries. This mix is consistent with a retina specialist who derives most revenue from recurrent injection therapy rather than surgical retina procedures.

    Medicare revenue scale is material: lifetime Medicare revenue is reported as $2.8M and there is no Medicaid billing on file, so this provider is effectively single-payer from a public-program perspective. The absence of any Medicaid revenue implies limited engagement with Medicaid populations or credentialing, meaning payer mix risks are concentrated in Medicare and commercial payers rather than state programs. Analysts should treat Medicaid as not applicable for benchmarking this clinician.

    Revenue concentration is high and concentrated: the precomputed top-3 share of 81.7% shows that a small number of drug and injection codes dominate the provider’s Medicare economics. J0178 alone generates $1.7M (58.3% of Medicare revenue) and J2777 adds $494.2K (17.4%), so drug administration and the drug products themselves are the primary revenue drivers rather than diverse E/M or imaging services. This concentration implies financial sensitivity to changes in drug pricing, reimbursement for intravitreal injections, or shifts in utilization of specific agents.

    Competitive standing for the top drug code is typical in national context: J0178 activity ranks #360 of 3204 providers nationally (89th percentile), described as typical, unremarkable volume for that code, indicating the provider is a solid but not dominant national participant for aflibercept administration. J2777 ranks #639 of 2039 providers nationally (69th percentile), also labeled typical, so while the practice bills high absolute dollars from these agents, its utilization patterns fit within common national behavior for retina specialists rather than representing an extreme concentration relative to peers.

    Several non-drug codes show unusually high utilization relative to national peers and suggest high visit and imaging throughput: 99214 ranks at the 100th percentile (extreme outlier, far above typical national volume) and 92134 ranks at the 98th percentile (extreme outlier). These two codes indicate a large volume of moderate-complexity established-patient E/M visits and retinal imaging studies, consistent with ongoing management of chronic retinal disease and frequent follow-up for injection protocols. For network planners, the combination of very high E/M and imaging volumes alongside heavy drug billing signals a busy retina clinic with substantial recurrent-visit demand.

    Other code-level ranks are mixed but generally consistent with a high-volume retina practice: 67028 (intravitreal injection as an isolated procedure) is at the 87th percentile (typical), 92014 and 99204 are notably above typical or extreme outliers respectively, and many ancillary diagnostic and procedural codes (e.g., J7999, J9035, 92235) sit in middle-to-high percentiles but are not outliers. This pattern reinforces that injections and recurrent outpatient management are the business core, while a modest set of diagnostic and minor procedure codes supports that activity.

    Tenure on file is substantial: the NPI was enumerated ~2009-06-05 (about 17 years ago), which supports interpreting utilization as the output of an established practice rather than a newly launched clinic. Long tenure increases confidence that the billing profile reflects steady-state clinical focus and established referral patterns.

    From a payor-analytics perspective, the provider should be treated as a high-volume Medicare retina specialist with concentrated drug exposure and minimal public-plan (Medicaid) footprint. Cost-management or network contracting strategies should prioritize monitoring anti-VEGF utilization and injection visit volumes (J0178, J2777, 67028) and ensure appropriate site-of-care and drug-administration coding, while recognizing the practice’s high follow-up visit and imaging throughput as legitimate care patterns for chronic retinal disease.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,390$690$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg17,040$30$494.2K
    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.1,770$100$171.2K
    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…1,720$90$156.2K
    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.2,980$30$86.3K
    J2778Injection, ranibizumab, 0.1 mg440$180$79.2K
    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…880$80$73.5K
    J7999Compounded drug, not otherwise classified470$70$34.5K
    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$27.9K
    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…200$100$20.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178650780$690$734.8K
    J277718509,000$30$525.8K
    J27781930550$180$198K
    6702822601,240$90$119K
    J79992650490$70$46.8K
    J9035820210$50$22.5K
    9201441650140$80$21.5K
    9921411610,410120$80$20.6K
    92235940120$100$14.3K
    9201217326080$60$10.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rasw, PCAZRetina Specialist (Ophthalmology) Physician$0$11.6M
    Mark WalshAZRetina Specialist (Ophthalmology) Physician$4.2M$0
    Sean GarrityAZOphthalmology Physician$3.4M$0
    Cameron JavidAZRetina Specialist (Ophthalmology) Physician$3.4M$0
    April HarrisAZRetina Specialist (Ophthalmology) Physician$3.4M$0
    Andreas GonzalezAZOphthalmology Physician$2.4M$0
    Anthony JosephAZRetina Specialist (Ophthalmology) Physician$2.2M$0
    William StevensonNVRetina Specialist (Ophthalmology) Physician$964K$0
    Shree KurupOHOphthalmology Physician$533.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Ob Gyn PLLCAZObstetrics & Gynecology Physician$0$21.7M
    Northwest Allied Physicians LLCAZGeneral Practice Physician$0$10.3M
    Sonora Behavioral Health Hospital, LLCAZPsychiatric Hospital$0$9.8M
    Southern Arizona Urgent Care LLCAZUrgent Care Clinic/Center$0$7.8M
    Al Shaafi Medical PCAZPediatrics Physician$0$7.6M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$0$7.6M
    Pediatrics Gps, IncAZPediatrics Physician$0$6.2M
    Pima Heart Asc LLCAZAmbulatory Surgical Clinic/Center$3.7M$59.7K
    Oro Valley Surgical Suites LLCAZAmbulatory Surgical Clinic/Center$2M$0
    Conrad CordovaAZFamily Nurse Practitioner$2M$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. Arizona Distribution
    Ryan Wong — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona