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

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

Douglas Fraker (NPI 1083641377)

Field	Value
Entity Type	Individual
Organization	Douglas Fraker
Address	3400 Spruce St
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	Surgery Physician
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicare	$142.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
60500	In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…	120	$810	$98.4K
99203	The 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…	230	$70	$14.8K
60502	The provider removes one or more of the parathyroid glands, which are small endocrine glands that are behind the thyroid gland. Providers perform the procedure to treat recurrent or persistent…	10	$1,030	$11.4K
60240	The procedure involves surgical removal of the entire thyroid gland.	10	$680	$8.2K
60220	This is a procedure involving complete surgical removal of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the…	10	$460	$5K
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…	90	$50	$4.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Douglas Fraker — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
60500	1	20	20	$750	$20.4K
60502	1	10	10	$1,030	$11.4K
60240	2	10	10	$660	$9.2K
99213	9,123	22,370	70	$60	$7.7K
60220	3	10	10	$490	$5.8K
99203	102	7,330	30	$70	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoebe Mellen	PA	Ophthalmology Physician	$1.4M	$0
Stephen Zrada	NJ	Hematology & Oncology Physician	$1.3M	$0
Joshua Ney	MA	Ophthalmology Physician	$879.5K	$0
Joel Berman	PA	Diagnostic Radiology Physician	$614.9K	$0
Vishal Bahal	NJ	Cardiovascular Disease Physician	$607.9K	$0
Vivek Sehgal	NJ	Diagnostic Radiology Physician	$281.4K	$265.1K
Alpesh Patel	NJ	Cardiovascular Disease Physician	$523.7K	$0
Swapnil Patel	PA	Diagnostic Radiology Physician	$481.6K	$0
Edita Surbliene	NJ	Nurse Practitioner	$451.9K	$0
James Beattie	NJ	Cardiovascular Disease Physician	$375.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Philadelphia	PA	Children's Hospital	$0	$286.9M
Trustees Of The University Of Pennsylvania	PA	General Acute Care Hospital	$0	$84M
House House Rehabilitation Services	PA	Community/Behavioral Health Agency	$0	$32.8M
Childrens Health Care Associates, Inc	PA	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$24.2M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	General Acute Care Hospital	$0	$23.3M
University Of Penn-medical Group	PA	Emergency Medicine Physician	$0	$21.5M
University Of Penn-medical Group	PA	Diagnostic Radiology Physician	$0	$17.7M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Tricounty Medical Equipment And Supply, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Dunbar Strategic Consulting Group	PA	Community/Behavioral Health Agency	$0	$10.8M

Douglas Fraker — Billing Profile & Reimbursement Data

Sign up for Douglas Fraker — Billing Profile & Reimbursement Data policy alerts

Douglas Fraker — Billing Profile & Reimbursement Data

Sign up for Douglas Fraker — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References