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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Mark Mayle (NPI 1528131703)

Field	Value
Entity Type	Individual
Organization	Mark Mayle
Address	1255 Pineview Dr
City	Morgantown
State	WV
ZIP	26505
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicare	$372.9K
Medicaid	$0

Key Findings

This provider’s billed activity is effectively single‑payer: total Medicare revenue on file is $372.9K and there is no Medicaid billing on file, so Medicare accounts for the entirety of recorded public‑payer revenue. Analyses of service mix and operational risk should therefore focus on Medicare reimbursement exposure rather than a dual‑payer strategy.

Revenue is highly concentrated in a small set of ophthalmology services: the precomputed top three Medicare codes (66984, 92014, 99213) together account for 56.6% of the provider’s Medicare revenue. The largest single code is 66984 at $107.6K (28.9% of Medicare revenue), followed by 92014 at $56.2K (15.1%) and 99213 at $47K (12.6%), indicating most revenue derives from cataract surgery and routine office ophthalmic care.

The code mix indicates a cataract‑focused ophthalmology practice with integrated outpatient care: 66984 (cataract extraction with IOL insertion) is the top revenue driver, supported by post‑op and secondary cataract procedures such as 66821 (YAG capsulotomy) at $39.5K (10.6%) and diagnostic/biometry services like 92136 ($8.6K) and 92134 ($8.2K). This pattern points to a workflow that includes surgery, routine follow‑up, and the diagnostic imaging needed for pre‑op planning and post‑op management.

Competitive standing versus national Medicare peers is mixed by service line. For the primary surgical code 66984 the provider ranks #4253 of 15965 (73th percentile; typical, unremarkable volume for this code), and for comprehensive exams 92014 the provider ranks #3563 of 35415 (90th percentile; typical, unremarkable volume), while routine office visits 99213 rank #10483 of 457151 (98th percentile; notably above typical national volume), indicating above‑average outpatient visit volume even as surgical volume sits near typical levels.

Diagnostic imaging utilization is a notable strength: 92133 (computerized optic nerve imaging) generated $10.8K and ranks #841 of 24968 providers nationally (97th percentile; notably above typical national volume), and 92136 (biometry) ranks in the 82th percentile. These relative rank positions suggest the practice relies heavily on OCT/imaging technologies compared with most peers and may generate substantial ancillary imaging throughput.

Surgical complexity appears moderate: complex/combined cataract codes such as 66982 and 66991 contribute smaller shares ($12K and $12.5K respectively) and sit at lower percentiles (36th and 39th), indicating occasional complex cases or combined‑procedure work rather than a steady high volume of advanced surgical cases. Conversely, glaucoma laser procedure 65855 is minimal ($2.6K) and ranks at the 4th percentile, signaling that laser trabeculoplasty is not a material part of the practice’s workload.

The average paid‑per‑claim values reinforce the service mix: 66984 averages $387 paid/claim, 92014 averages $84 paid/claim, and 99213 averages $58 paid/claim, aligning with a revenue profile driven by higher‑value surgical encounters supplemented by higher‑frequency, lower‑unit‑value office visits. For payer/contracting teams, this combination implies negotiated rates and surgical facility arrangements will meaningfully affect overall revenue capture.

The provider has an established NPI history (enumerated 2006-11-16, ~20 years ago), indicating long tenure in the market. Combined with concentrated Medicare revenue and a surgery-plus‑clinic mix, this tenure suggests a stable referral and follow‑up population within the Medicare beneficiary cohort rather than a new or rapidly expanding enterprise.

Medicare: Complete Services Breakdown

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

20 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	$390	$107.6K
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…	670	$80	$56.2K
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…	810	$60	$47K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	140	$280	$39.5K
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…	240	$90	$20.9K
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.	140	$90	$13.2K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$480	$12.5K
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…	110	$110	$12.2K
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…	20	$550	$12K
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…	450	$20	$10.8K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Mark Mayle — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	40	90	210	$70	$60.7K
66991	5	10	30	$1,110	$41.1K
66982	20	30	30	$400	$17.9K
92014	15	180	120	$70	$16.3K
66821	7	50	50	$190	$16.2K
99214	587	2,740	100	$70	$11.8K
99213	52	2,860	80	$50	$7.5K
92012	48	80	70	$50	$7.2K
92136	14	40	160	$20	$6.1K
65855	14	20	30	$160	$5.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Miller	WV	Ophthalmology Physician	$6.3M	$0
Regional Eye Associates, Inc	WV	Ambulatory Surgical Clinic/Center	$1.5M	$67.7K
Stephen Powell	WV	Ophthalmology Physician	$525.5K	$0
Heath Lemley	WV	Ophthalmology Physician	$512.8K	$0
Brian Wood	WV	Ophthalmology Physician	$324.6K	$0
Edgar Gamponia	WV	Ophthalmology Physician	$256.6K	$0
Allison Bardes	WV	Ophthalmology Physician	$172.5K	$0
Lauren Digiovine	WV	Ophthalmology Physician	$164.2K	$0
Jennifer Talkington	WV	Certified Registered Nurse Anesthetist	$68.9K	$0
Stacy Commodore	WV	Certified Registered Nurse Anesthetist	$65.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of Pittsburgh, Inc.	WV	Nursing Care Agency	$0	$23.1M
Monongalia County General Hospital Company	WV	General Acute Care Hospital	$0	$16.3M
Monongalia Emergency Medical Services Inc	WV	Ambulance	$1.4M	$11.3M
Gr&w, Inc	WV	Clinical Neuropsychologist	$0	$12.2M
Cardinal Pediatrics PLLC	WV	Pediatrics Physician	$0	$11.1M
Pace Training And Evaluation Center, Inc	WV	Developmentally Disabled Services Day Training Agency	$0	$9.2M
Therapy Services, LLC	WV	Speech-Language Pathologist	$0	$8.5M
Monongalia County General Hospital Company	WV	Specialist	$0	$6.8M
West Virginia Emergency Physicians, LLP	WV	Emergency Medicine Physician	$0	$4.7M
Renaissance Care Inc	WV	In Home Supportive Care Agency	$0	$3.1M

Mark Mayle — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References