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

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

Catherine Meyerle (NPI 1225235633)

Field	Value
Entity Type	Individual
Organization	Catherine Meyerle
Address	35 Eastward Ln Ste A
City	Ellsworth
State	ME
ZIP	04605
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicare	$293.2K
Medicaid	$0

Key Findings

This provider reports $293.2K in total Medicare revenue and has no Medicaid billing on file, making their current payer footprint effectively single‑payer with Medicare as the dominant (and only reported) public insurer. The absence of Medicaid activity limits insights into dual‑payer mix and suggests payer diversification is minimal at present.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes account for 85.5% of the provider's Medicare revenue, with one code particularly dominant. J0178 alone represents 67.6% of Medicare revenue ($197.9K) and is the single largest source of billings, indicating heavy dependence on that medication for topline Medicare income.

The code mix indicates a medical retina practice model centered on intravitreal pharmacologic therapy and associated diagnostics. High-volume retinal imaging (92134: 658 claims) paired with frequent intravitreal procedures (67028: 462 claims; J0178: 286 claims; J9035: 311 claims) points to ongoing management of conditions like AMD/DME where injections and OCT imaging are routine.

Operational exposure is concentrated in a single drug code: J0178 shows $692 avg paid/claim and $197.9K revenue, accounting for a large share of income; this creates sensitivity to changes in drug reimbursement, utilization, or formulary policy. With J9035 (bevacizumab) also present but smaller ($16.8K, 5.7% of revenue), the provider uses both branded and off‑label anti‑VEGF agents but remains financially reliant on J0178 revenues.

National competitive standing for the top revenue driver is modest: J0178 ranks #2351 of 3204 providers (26th percentile) and is labeled as typical, unremarkable volume for this code, so despite its outsized revenue share here, the provider is not a high‑volume aflibercept injector versus national peers. Similarly, 67028 ranks #2294 of 4255 (46th percentile) and is described as typical, unremarkable volume for this code, indicating average procedural activity.

Retinal imaging (92134) is a relative strength on volume terms: it accounts for $17.8K (6.1% of Medicare revenue), records 658 claims, and ranks #2876 of 26868 providers (89th percentile) while being classified as typical, unremarkable volume for this code; this suggests above‑median imaging activity compared with the national pool of ophthalmologists. J9035 (bevacizumab) also shows above‑median placement (76th percentile) while still labeled typical, unremarkable volume for this code, indicating some use of lower‑cost injectable therapy in the practice.

Claims and payment profile detail a frequent imaging-to-injection workflow: 92134 has the highest claim count (658 claims) while intravitreal procedure 67028 and drug administration claims (J0178: 286 claims; J9035: 311 claims) together reflect a pattern of diagnostic imaging driving subsequent therapeutic injections. Average paid/claim figures ($692 for J0178, $75 for 67028, $27 for 92134) align with a model where drug reimbursement dominates per‑encounter revenue and ancillary services generate lower per‑claim payments but sustain throughput.

The provider has an established NPI tenure (enumerated 2007-06-29, ~19 years ago), which suggests a long-standing clinical presence in ELLSWORTH, ME; combined with the concentrated service mix, this tenure is consistent with a focused retinal care practice rather than a broad multispecialty ophthalmology operation. Given the limited payer diversity (no Medicaid billed), strategic or reimbursement shifts in Medicare would likely have outsized impact on practice revenue.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	290	$690	$197.9K
67028	The 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.	460	$80	$34.6K
92134	The 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.	660	$30	$17.8K
J9035	Injection, bevacizumab, 10 mg	310	$50	$16.8K
92012	For 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…	200	$60	$11.8K
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…	130	$80	$10.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	30	$100	$3.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$670

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Catherine Meyerle — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	20	990	$690	$652.2K
67028	13	30	410	$90	$51.1K
92014	137	240	150	$80	$14.7K
J9035	2	10	60	$50	$8.5K
92012	19	130	50	$60	$5.2K
92134	13	180	50	$30	$4.5K
92004	96	190	30	$90	$3.6K
99212	315	410	30	$30	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Kidspeace National Centers Of New England Inc	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$16.8M
Kidspeace National Centers Of New England, Inc.	ME	Community/Behavioral Health Agency	$0	$15M
Kidspeace National Centers Of New England Inc	ME	Psychiatric Residential Treatment Facility	$0	$8.6M
Special Children's Friends, Inc.	ME	Early Intervention Provider Agency	$0	$8.1M
Emergency Medicine Services Of Maine, LLC	ME	Emergency Medicine Physician	$0	$5.4M
Coastal Med-tech Corp.	ME	Customized Equipment (DME)	$0	$2.4M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Caring Hands Of Maine	ME	Dentist	$0	$1.3M
Cesc, LLC	ME	Ambulatory Surgical Clinic/Center	$617.6K	$534.5K

Catherine Meyerle — Billing Profile & Reimbursement Data

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Catherine Meyerle — 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