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Ryan K Hand

Physician Assistant · Rochester

NPI 1497864623

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
3
Since medical school
25 years
Graduated 2001

On the public record

  • New York board action on record (2010)

Offices

3 locations · Rochester General Hospital · United Memorial Medical Center

Looking this up.

Hospitals listed: Rochester General Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Ryan K Hand’s office at (585) 922-4000 to ask if they take your plan before you enroll.

State licence records

1 licence

  • New York 008167Physician assistant
    Board action on recordCensure and reprimand with $2,000 fine.The physician assistant has complied with the terms of the order. · 2010-03-23
    The physician assistant did not contest the charge of having been convicted in the Henrietta Town Court, Monroe County, New York for driving while intoxicated.
    Check it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Rochester General HospitalRochester, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Rochester Regional Health System, which runs 6 hospitalsPatients rate it 2 of 5 · 60% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.75 (1.49 to 2.01), Jul 2022 – Jun 2024Worse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.59 (3.69 to 7.49) · 1,934 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative hemorrhage or hematoma rate: 4.42 (3.1 to 5.73) · 1,826 cases, Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 2.27 (1.72 to 2.82) · 5,687 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.544, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.477, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.522, Oct 2024 – Sep 2025
See every measure and the patient survey for Rochester General Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 2 worse of 8 measures. Readmissions: 0 better, 8 the same, 3 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Rochester General Hospital
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.75 (1.49 to 2.01)WorseJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.59 (3.69 to 7.49) · 1,934 casesWorseJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths4.42 (3.1 to 5.73) · 1,826 casesWorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths2.27 (1.72 to 2.82) · 5,687 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.544BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.477BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.522BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.54 (0.63 to 2.45) · 1,327 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths173.53 (128.98 to 218.07) · 110 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.6 · 70 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.9 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.6 · 142 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.7 · 346 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 240 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.8 · 634 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 7,150 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.35 (0.15 to 0.55) · 6,752 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.39 (0.19 to 0.58) · 7,066 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.46 (0.03 to 2.88) · 986 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.02 (6.1 to 15.95) · 952 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.01 (3.93 to 10.09) · 992 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.82 (0.4 to 3.24) · 419 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.3 · 264 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.674No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.728No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.49No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.7 · 678 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.8 · 1,625 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.1 · 188 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits44.4 · 417 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits84.2 · 233 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17 · 944 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.1 (2.7 to 6) · 145 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits8.9 (6.5 to 12) · 145 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits7.7 · 261 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.9 · 188 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.4 · 508 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (9.5 to 17) · 396 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.2) · 590 casesNo differentJan 2024 – Dec 2024

What patients said (3,464 patients answered, 23% of those asked)

Patient survey stars by topic at Rochester General Hospital
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital2
Share of patients giving the best answer at Rochester General Hospital
Room was "always" clean58%
Nurses "always" communicated well71%
Doctors "always" communicated well74%
Staff "always" explained53%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)59%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital60%
Staff "always" explained possible side effects39%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$2,235

Medicare paid this office $2,235 for 32 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$775$34

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Hernia repair - groin (open)1-10None
Removal of tissue1-10None
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

Who their Medicare patients are

32 Original Medicare patients in 2024. Average age 68 · Women 34% · Also on Medicaid 47% · Health risk score 2.63. Sicker patients than 9 in 10 peers; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Diabetes 44% · Chronic kidney disease 34%.

The office billed $6,239, Medicare allowed $2,769 and paid $2,235; for 48 services of 14 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20243248682.63$6,239$2,235
20232340681.61$7,303$2,003
20221219671.89$3,779$1,186
20211925693.44$5,813$1,544
20202633672.08$8,211$2,571
20192535713.28$6,683$2,125
20185564632.98$14,469$4,810
20176376673.14$23,991$5,898
20166980653.67$39,514$5,034
20156480672.04$54,015$5,539
20143940662.73$32,428$3,182
20133746712.11$23,065$3,215

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2016: 2 services

Original Medicare services billed in 2016
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,164$90
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$541$26

2015: 1 service

Original Medicare services billed in 2015
Removal of gallbladder using an endoscope11$760$69

Drugs they prescribed that Part D paid

$1,673

Pharmacies billed $1,673 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 44% of their Part D prescriptions (32 of 72) in 2024. A higher opioid share than 9 in 10 peers; the typical physician assistant clinician is at 1%.

68 generic and fewer than 11 brand-name prescriptions · $1,673 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Oxycodone29$71$2

Year by year

Part D prescribing by year
2024724644% (32)None$1,673
2023533557% (30)0%$426
2022392964% (25)None$2,793
2021473253% (25)None$2,285
2020413166% (27)None$1,645
2019714962% (44)None$1,002
2018715163% (45)None$624
20171037669% (71)None$2,172
2016896861% (54)None$4,258
2015745866% (49)None$2,725
2014946457% (54)None$2,550
2013846366% (55)None$1,867

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Oxycodone20$41$2

2022: 1 drug

Part D drugs prescribed in 2022
Oxycodone13$36$3

2021: 2 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen11$39$4
Oxycodone11$34$3

2020: 1 drug

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen18$59$3

2019: 1 drug

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen27$118$4

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen33$210$6

2017: 2 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen40$251$6
Oxycodone26$142$5

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen29$341$12
Oxycodone13$116$9

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen40$423$11

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen31$322$10
Oxycodone17$170$10

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen35$387$11
Oxycodone12$93$8

Money from drug and device companies

$102 in 2025

Industry payments by year
202544None$102
202458None$239
202324None$151
202235None$127
2021316None$253

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Smith+NephewAllevyn Heel 10.5cm X 13.5cm Ctn 5$42
1 payment
  • Meals for Allevyn Heel 10.5cm X 13.5cm Ctn 5 · 2025-10-28 · $42
SolventumPrevena$28
1 payment
  • Meals for Prevena · 2025-05-08 · $28
Astellas Pharma USPadcev$17
1 payment
  • Meals for Padcev · 2025-02-27 · $17
Aroa BiosurgeryNone$14
1 payment
  • Meals · 2025-05-29 · $14
See all 4 published payments
Every published payment
Smith+NephewMeals · 2025-10-28Allevyn Heel 10.5cm X 13.5cm Ctn 5$42
Aroa BiosurgeryMeals · 2025-05-29None$14
SolventumMeals · 2025-05-08Prevena$28
Astellas Pharma USMeals · 2025-02-27Padcev$17
See earlier years (2024, 2023, 2022, 2021)

2024: $239

Payments by company in 2024
MedtronicSignia$100
3 payments
  • Meals for Signia · 2024-12-20 · $19
  • Meals for Signia · 2024-12-20 · $56
  • Meals for Signia · 2024-08-12 · $25
Baxter HealthcareTisseel$63
2 payments
  • Meals for Tisseel · 2024-10-03 · $28
  • Meals for Tisseel · 2024-03-01 · $35
SolventumV.A.C. Veraflo$30
1 payment
  • Meals for V.A.C. Veraflo · 2024-08-08 · $30
Smith+NephewPico$24
1 payment
  • Meals for Pico · 2024-10-31 · $24
Ethicon USVistaseal$22
1 payment
  • Meals for Vistaseal · 2024-10-14 · $22

2023: $151

Payments by company in 2023
Becton Dickinson andPhasix Mesh$82
2 payments
  • Meals for Phasix Mesh · 2023-10-03 · $40
  • Meals for Phasix Mesh · 2023-08-31 · $42
MedtronicSignia$69
2 payments
  • Meals for Signia · 2023-07-28 · $37
  • Meals for Signia · 2023-03-03 · $32

2022: $127

Payments by company in 2022
Kci USAV.A.C. Dermatac$57
2 payments
  • Meals for V.A.C. Dermatac · 2022-10-24 · $36
  • Meals for V.A.C. Veraflo · 2022-07-12 · $20
AbbvieCreon$40
2 payments
  • Meals for Creon · 2022-10-05 · $21
  • Meals for Creon · 2022-05-07 · $19
Baxter HealthcareTisseel$31
1 payment
  • Meals for Tisseel · 2022-11-08 · $31

2021: $253

Payments by company in 2021
TissuetechNeox$123
13 payments
  • Meals for Neox · 2021-07-27 · $15
  • Meals for Neox · 2021-07-14 · $2
  • Meals for Neox · 2021-07-14 · $1
  • Meals for Neox · 2021-07-07 · $12
  • Meals for Neox · 2021-06-14 · $22
  • Meals for Neox · 2021-06-10 · $2
  • Meals for Neox · 2021-05-28 · $7
  • Meals for Neox · 2021-04-15 · $19
  • Meals for Neox · 2021-03-30 · $21
  • Meals for Neox · 2021-03-12 · $2
  • Meals for Neox · 2021-02-08 · $3
  • Meals for Neox · 2021-01-18 · $3
  • Meals for Neox · 2021-01-13 · $15
MedtronicVenaseal$100
1 payment
  • Meals for Venaseal · 2021-11-09 · $100
Smith+NephewPico7$30
2 payments
  • Meals for Pico7 · 2021-08-03 · $16
  • Meals for Renasys Go · 2021-03-24 · $13

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
95.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1497864623
Licence
NY 008167New York 008167: Board action on record
Group
Rochester General Hospital · United Memorial Medical Center
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
NY 03134567
Taxonomy
Physician assistant, surgical (363AS0400X)
Mailing address
1425 Portland Ave, Rochester, NY, 14621
NPI first listed
2006-08-30
NPI last updated
2022-10-20
NPI record certified
2022-10-20

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.