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    OpenPayerNPI Medicare & MedicaidAnthony Frogameni
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    Anthony Frogameni — Billing Profile & Reimbursement Data

    NPI 1073535191 · Toledo, OH · Sports Medicine (Orthopaedic Surgery) Physician

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    Anthony Frogameni is a sports medicine (orthopaedic surgery) physician provider located in Toledo, Ohio. This profile covers 22 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
    OrganizationAnthony Frogameni
    Address2865 N Reynolds Rd
    CityToledo
    StateOH
    ZIP43615
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicare$235.6K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$980$53K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…840$50$45.5K
    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…540$60$32.1K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg26,540$1$26.5K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,790$10$23.3K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$1,140$13.6K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2,530$10$12.6K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose120$100$12.1K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,140$10$5.7K
    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…60$90$5.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744713054030$1,280$52.4K
    J330412401,500$10$26.9K
    2347212215020$770$20.8K
    J731854701,620$10$12.5K
    9921412,78920,010100$70$11.7K
    J73232910080$100$10.5K
    J732832011,260$1$8.1K
    9921358520,00070$50$6.6K
    2061061,64060$50$4.7K
    992031,3946,38030$60$2.9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Toledo HospitalOHGeneral Acute Care Hospital$0$151.2M
    Promedica Central PhysiciansOHFamily Medicine Physician$0$40.9M
    Joseph PalumboWVEmergency Medicine Physician$7.9M$44.3K
    Niraj ShahOHOphthalmology Physician$1.3M$0
    Shaili DesaiOHHematology & Oncology Physician$1.2M$0
    George YoussefOHInterventional Cardiology Physician$986.8K$0
    Stanley TaoOHOphthalmology Physician$832K$0
    Jeffery StephensOHOphthalmology Physician$540.8K$0
    Christine KuhlmanOHFamily Nurse Practitioner$401.1K$0
    Nhan LuuOHNephrology Physician$396.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard Health SystemsOHHome Health Agency$0$13.3M
    Philio, Inc.OHCommunity/Behavioral Health Agency$0$8.4M
    Pinnacle Treatment Centers Oh-ix, LLCOHMethadone Clinic$66.9K$7.6M
    Philip NelsenOHRetina Specialist (Ophthalmology) Physician$2.6M$0
    Charles DabbsOHRetina Specialist (Ophthalmology) Physician$780K$0
    Reynolds Road Surgical Center LtdOHAmbulatory Surgical Clinic/Center$324.2K$0
    Fadhil HusseinOHCardiovascular Disease Physician$307.2K$0
    Ashok BiyaniOHOrthopaedic Surgery of the Spine Physician$297.9K$0
    Tyler VovosOHOrthopaedic Surgery Physician$293.7K$0
    Stephen SaddemiOHSports Medicine (Orthopaedic Surgery) Physician$279.7K$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. Ohio Distribution
    Anthony Frogameni — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio