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

    NPI 1992720064 · Colorado Springs, CO · Ophthalmology Physician

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    Ryan Rich 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
    OrganizationRyan Rich
    Address2770 N Union Blvd
    CityColorado Springs
    StateCO
    ZIP80909
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    Provider and payer footprint: RYAN RICH is an Ophthalmology Physician based in COLORADO SPRINGS with an NPI enumerated 2006-07-12 (~20 years ago). Lifetime Medicare revenue on file totals $3.1M and there is no Medicaid billing on file, so this provider operates effectively as a Medicare-focused practice in the available claims data.

    Revenue concentration in Medicare is heavily concentrated in three intravitreal drug codes: the top 3 Medicare codes account for 81.1% of this provider's total Medicare revenue. Specifically, J2777 generates $1.6M (52.4% of Medicare revenue), J0178 generates $508.5K (16.6%), and J2778 generates $373.1K (12.2%), indicating most revenue derives from anti-VEGF/faricimab–class injections.

    Service-line implications: the code mix indicates a retina-focused clinical operation centered on high-volume intravitreal injections and associated diagnostic imaging. High-revenue drug codes J2777, J0178, and J2778 combined with frequent use of injection procedure 67028 and imaging codes 92134 and 92235 point to ongoing management of retinal vascular disease and macular degeneration as the core service line.

    Competitive standing on key drugs varies: J2777 (faricimab) ranks #86 of 2039 nationally (96th percentile) and is described as notably above typical national volume for this code, signaling a strong national-level presence for that drug. By contrast, J0178 (aflibercept) ranks #1567 of 3204 (51th percentile) and is reported as typical/unremarkable, while J2778 (ranibizumab) ranks #212 of 1208 (83th percentile) and is typical/unremarkable, so this practice is a major user of faricimab but more modest for other biologics.

    Imaging and monitoring intensity is unusually high: 92134 (retinal OCT with interpretation) has 2.8K claims and $90.1K revenue and ranks #484 of 26868 providers nationally (98th percentile) and is labeled an extreme outlier, far above typical national volume. Multiple other diagnostic codes show high percentiles (e.g., 92012 at the 96th percentile, 92235 at the 96th percentile, 92014 at the 93th percentile), conveying frequent disease monitoring consistent with a high-volume retina practice.

    Scope of procedural care beyond injections: the provider bills for vitreoretinal surgical codes (67042, 67108, 67036) but at low absolute counts and revenue (for example 67042: 21 claims, $18.3K revenue; 67108: 18 claims, $16.4K revenue), suggesting occasional surgical intervention but limited surgical retina volume relative to injection and imaging activity. This mix suggests a clinical model that is primarily office-based injection and imaging with episodic surgery.

    Business risk and opportunity: heavy reliance on three drug codes for 81.1% of Medicare revenue concentrates financial exposure to changes in drug utilization, pricing, or utilization management for those agents. Conversely, the combination of top-tier faricimab volume and extreme-outlier OCT utilization represents an opportunity to negotiate value-based arrangements or retina-focused specialty contracts that recognize high monitoring and drug-delivery capacity.

    Implications for payers and network analysis: because Medicaid billing is absent (none — no Medicaid billing on file) and Medicare receipts dominate ($3.1M), payer-market strategies should treat this entity as effectively single-payer Medicare for network contracting and utilization reviews. longevity of enrollment (NPI enumerated 2006-07-12 (~20 years ago)) indicates an established practice with sustained referral and utilization patterns that are observable and stable in the Medicare dataset.

    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 mg55,440$30$1.6M
    J0178Injection, aflibercept, 1 mg750$680$508.5K
    J2778Injection, ranibizumab, 0.1 mg2,070$180$373.1K
    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.1,920$100$197.3K
    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.2,820$30$90.1K
    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…800$90$72.2K
    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…830$70$59.1K
    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…470$110$51.6K
    J7999Compounded drug, not otherwise classified500$80$37.4K
    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…160$120$18.9K

    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
    J01782860740$690$618.3K
    J27774408,910$30$456.1K
    J2778520600$180$199.7K
    67028480670$100$73.3K
    67036143020$1,100$37.3K
    67042153020$1,140$29.6K
    6710872020$1,260$26.5K
    J7999650230$70$21.5K
    9201423670100$80$15.2K
    9223555050$110$12.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Consultants Of Southern Colorado P CCOOphthalmology Physician$0$9M
    James LuuCORetina Specialist (Ophthalmology) Physician$4.1M$0
    Ramin SarrafizadehCORetina Specialist (Ophthalmology) Physician$3.4M$0
    Adam MartidisCORetina Specialist (Ophthalmology) Physician$3.4M$0
    Stanford TaylorCORetina Specialist (Ophthalmology) Physician$2.7M$0
    Cecinio RonquilloCOOphthalmology Physician$2.1M$0
    Steven ChristiansenCOOphthalmology Physician$302.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Ryan Rich, 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
    Ryan Rich — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado