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SZEPIELA, RYANM.D. NPI 1295985349 Clinician

Physical Medicine and Rehabilitation · TOLEDO, OH

Specialty Physical Medicine and Rehabilitation — from billed Medicare claims
Trained TOLEDO MEDICAL COLLEGE — medical school, self-reported to CMS
In practice about 20 years since medical school (class of 2006, self-reported to CMS)
Location TOLEDO, OH · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 29 codes billed · 10,541 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
PROMEDICA CENTRAL PHYSICIANS
2019–2026
THE TOLEDO HOSPITAL
2019

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2023-11

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J1100 Injection, dexamethasone sodium phosphate, 1 mg
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
72100 X-ray of lower and sacral spine, 2-3 views
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level
96372 Injection of drug or substance under skin or into muscle
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20553 Injection of trigger points, 3 or more muscles
64490 Injection of upper or middle spine facet joint using imaging guidance, single level
64636 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
64479 Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level
73030 X-ray of shoulder, minimum of 2 views
64491 Injection of upper or middle spine facet joint using imaging guidance, second level
76942 Ultrasonic guidance for needle placement
72040 X-ray of upper spine, 2-3 views
73502 X-ray of hip, 2-3 views
73562 X-ray of knee, 3 views
73565 X-ray of both knees while standing
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.