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    OpenPayerNPI Medicare & MedicaidThomas Mauger
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    Thomas Mauger — Billing Profile & Reimbursement Data

    NPI 1295762623 · Morgantown, WV · Ophthalmology Physician

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    Thomas Mauger is a ophthalmology physician provider located in Morgantown, West Virginia. This profile covers 15 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
    OrganizationThomas Mauger
    Address1 Medical Center Dr
    CityMorgantown
    StateWV
    ZIP26506
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicare$94.8K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…70$370$26K
    99213The 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…480$50$21.6K
    66982The 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…20$550$11.6K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.10$870$11.4K
    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…110$90$9.3K
    99214The 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…80$70$5.4K
    92136The 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…160$20$3.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.10$210$2.7K
    99203The provider sees a new 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 provider…20$60$1.1K
    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.60$20$970

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669845790210$70$60.7K
    6575621030$880$23.6K
    66982223030$400$17.9K
    66821465050$190$16.2K
    992141,5362,740100$70$11.8K
    992131592,86080$50$7.5K
    921362140160$20$6.1K
    921347716060$30$5.4K
    99204751,22030$100$4.1K
    9920362794030$60$2.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    United Hospital Center, IncWVGeneral Acute Care Hospital$0$63.3M
    St Josephs Hospital Of Buckhannon IncWVCritical Access Hospital$0$41.8M
    Wheeling Hospital IncWVGeneral Acute Care Hospital$0$40.1M
    Osu Internal Medicine, LLCOHInternal Medicine Physician$0$28M
    United Hospital Center, Inc.WVInternal Medicine Physician$0$13.7M
    Wheeling Hospital IncWVFamily Medicine Physician$0$8.5M
    St Josephs Hospital Of BuckhannonWVInternal Medicine Physician$0$4.5M
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    St. Joseph's Hospital Of Buckhannon, Inc.WVRural Health Clinic/Center$0$2.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Hospitals, IncWVGeneral Acute Care Hospital$0$124.1M
    West Virginia University Hospitals, Inc.WVSubstance Abuse Rehabilitation Facility$0$15.4M
    West Virginia University Dental CorporationWVDentist$0$5.9M
    West Virginia University Hospitals, IncWVEmergency Medicine Physician$0$3M
    Heather BooWVNeuroradiology Physician$596.8K$0
    Arijit ChakravartyWVNephrology Physician$281K$0
    Adeem AkbarWVNephrology Physician$162.7K$0
    Robert MarshWVNeurological Surgery Physician$152.1K$0
    Mark LisleWVDiagnostic Radiology Physician$150.1K$710
    Brian HamlinWVAdult Reconstructive Orthopaedic Surgery Physician$148.2K$0

    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. West Virginia Distribution
    Thomas Mauger — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia