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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Brian Doyle (NPI 1083905590)

Key Findings

Field	Value
Entity Type	Individual
Organization	Brian Doyle
Address	81 River St Ste 204
City	Montpelier
State	VT
ZIP	05602
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 2, 2011

Payer Source	Total Paid
Medicare	$295.7K
Medicaid	$0

Provider tenure and scale: BRIAN DOYLE has an NPI enumerated 2011-05-02 (~15 years ago) and reports Total Medicare revenue of $295.7K with no Medicaid billing on file, indicating an effectively single‑payer Medicare practice footprint. The absence of Medicaid activity means payers will not see Medicaid service patterns or volume from this NPI for network adequacy or utilization comparisons within state programs.

Revenue concentration: Medicare revenue is highly concentrated in a small set of services — the precomputed top 3 Medicare codes account for 56.9% of this provider's total Medicare revenue. Those top three codes are 66984 (38.3% of Medicare revenue), 92014 (9.5%), and 66821 (9.1%), signaling reliance on a narrow set of procedures and visits for the majority of billings.

Service‑line implications — cataract-centered surgical practice: The largest single revenue driver is 66984 ($113.3K, 38.3% of Medicare revenue), the standard phacoemulsification cataract extraction with intraocular lens insertion, supplemented by 66821 ($27K) for YAG capsulotomy and a smaller volume of complex cataract work (66982, $14.7K). This code mix is consistent with a practice organized around cataract surgery plus routine post‑op and laser follow‑up rather than a broad multispecialty ophthalmology practice.

Diagnostic imaging and ancillary testing strength: The provider reports relatively high use of posterior-segment imaging, with 92133 producing $9.2K and ranking #1063 of 24968 nationally (96th percentile; notably above typical national volume), which the dataset labels "notably above typical national volume." Elevated OCT use alongside biometry codes such as 92136 ($8.6K) and imaging code 92134 ($6.4K) suggests in‑office diagnostic capacity that supports surgical decision making and postoperative management.

E/M and new patient intake profile: Office E/M codes 99214 ($25K) and 99213 ($12.4K) make up meaningful shares of revenue, and the new‑patient code 99204 ($16.8K) is flagged as high relative volume (rank #8166 of 227068; 96th percentile; notably above typical national volume). The comparatively strong 99204 activity implies a higher-than-typical intake of new patients at moderate complexity, consistent with referral inflow for surgical evaluation.

Competitive standing in cataract surgery vs. national peers: Although 66984 is the largest revenue source, its national rank (#4239 of 15965) is characterized in the data as "typical, unremarkable volume," indicating the provider is not a dominant national cataract center but rather a modest to mid‑range surgical operator. Payers evaluating network capacity should view this clinician as a competent local cataract surgeon with standard national volumes rather than a high-volume regional hub.

Statistical outliers and notable deviations: The dataset flags a few codes as "notably above typical national volume" — specifically 92133 (OCT imaging) and 99204 (new patient moderate complexity visits) — while most surgical codes (including 66984 and 66821) are labeled "typical, unremarkable volume." This pattern indicates the provider is particularly active in diagnostic imaging and new patient evaluations relative to peers, even though overall surgical volumes remain typical.

Implications for payers and referral management: With Total Medicare revenue of $295.7K concentrated in cataract procedures and diagnostic imaging, payers should classify this NPI as a cataract‑focused ophthalmologist with in‑office testing capabilities and higher-than-typical new patient throughput. The lack of Medicaid billing limits applicability for Medicaid network planning, so payers needing Medicaid access should not rely on this provider’s NPI to meet state program coverage needs.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	280	$410	$113.3K
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…	370	$80	$28.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	110	$250	$27K
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…	310	$80	$25K
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…	170	$100	$16.8K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$560	$14.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	230	$60	$12.4K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	240	$40	$10.4K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	400	$20	$9.2K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	320	$30	$8.6K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Mental Health Services, Inc.	VT	Community/Behavioral Health Agency	$0	$99.3M
Washington County Family Center	VT	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Treatment Associates, Inc	VT	Mental Health Counselor	$0	$6.2M
Central Vermont Medical Center Inc	VT	Family Medicine Physician	$0	$4.1M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$202.1K	$2.8M
Benjamin Newman	VT	Clinical Social Worker	$0	$1.5M
Central Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$907.7K
Keene Medical Products, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$678.6K
M Gould	VT	Psychologist	$0	$574.9K
City Of Montpelier Ambulance	VT	Land Ambulance	$190.7K	$378.7K

Brian Doyle — Billing Profile & Reimbursement Data

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Brian Doyle — 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

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	7	20	180	$210	$121.4K
66982	6	10	30	$630	$21.3K
92014	20	100	200	$80	$19.6K
66821	2	20	50	$250	$13.2K
99214	123	960	90	$70	$10.6K
99213	164	910	80	$50	$6.7K
92004	21	90	50	$90	$5.9K
92012	18	50	50	$60	$5.8K
92136	4	20	180	$30	$5.6K
92134	10	90	50	$20	$4.3K