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    OpenPayerNPI Medicare & MedicaidTyson Maugle
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    Tyson Maugle — Billing Profile & Reimbursement Data

    NPI 1598106155 · Camp Hill, PA · Orthopaedic Surgery Physician

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    Tyson Maugle is a orthopaedic surgery physician provider located in Camp Hill, Pennsylvania. This profile covers 32 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTyson Maugle
    Address3399 Trindle Rd
    CityCamp Hill
    StatePA
    ZIP17011
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 11, 2013

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

    Payer SourceTotal Paid
    Medicare$209.8K
    Medicaid$7.5K

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…30$1,220$32.8K
    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…460$60$28.5K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…30$540$16.3K
    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…160$90$13.6K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…70$200$12.7K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$560$11.2K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…10$980$10.8K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$580$10.4K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…30$280$9.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$610$8.6K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2713034636030$950$31.3K
    22612158020$1,280$29.5K
    992148,61823,230100$80$14.5K
    226146510040$270$14.5K
    6304710114020$490$14.3K
    2255823020$670$12.7K
    228424110020$500$10.6K
    22840226020$480$10.5K
    992131,15522,37070$60$7.7K
    206107781,98060$50$6.7K

    Showing 1–10 of 32

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$20$7.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,9408,870240$40$56.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Pinnacle Health Medical ServicesPAFamily Medicine Physician$0$14.1M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Susan LeeNJInternal Medicine Physician$769K$0
    Daniel KimPAOrthopaedic Surgery Physician$451K$2.2K
    Henry VenbruxPAAnatomic Pathology & Clinical Pathology Physician$416.5K$18.3K
    Kelly CarusoPAFamily Medicine Physician$29.2K$390.6K
    John EllsworthUTUrology Physician$398.1K$0
    Adam BuerkPAOrthopaedic Surgery Physician$368.8K$19.3K
    Curtis GoltzPAOrthopaedic Surgery Physician$346K$11.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstaffers, LLCPAHome Health Agency$0$15.1M
    Penn State Health Holy Spirit Medical CenterPAGeneral Acute Care Hospital$0$10.2M
    Penn State Health Life Lion, LLCPAAmbulance$2.4M$6.9M
    Shadai Healthcare Services LLCPAHome Health Agency$0$9.2M
    Lawrence HoPAOphthalmology Physician$3M$4.1K
    Maxwell StemPAOphthalmology Physician$2.9M$31.9K
    Steven TruongPAOphthalmology Physician$2.7M$11.5K
    Paul BakerPAOphthalmology Physician$2.4M$3.3K
    Michael BanachPAOphthalmology Physician$2.1M$5.1K
    Tahsin KhundkarPAOphthalmology Physician$1.5M$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. Pennsylvania Distribution
    Tyson Maugle — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Tyson Maugle — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania