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

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

Frank Casey (NPI 1174645329)

Field	Value
Entity Type	Individual
Organization	Frank Casey
Address	5400 Bowman Rd
City	Macon
State	GA
ZIP	31210
Taxonomy	Urology Physician
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicare	$160.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	270	$130	$34.8K
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…	390	$80	$31.3K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	220	$50	$10.3K
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…	170	$60	$9.3K
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…	60	$110	$7K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	40	$160	$6.6K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	50	$120	$6.5K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	10	$550	$6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$120	$6K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$300	$5K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Frank Casey — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9217	14	120	110	$130	$20K
99214	2,268	13,640	120	$80	$17.8K
52000	179	270	70	$140	$13.8K
52601	37	40	20	$660	$11.2K
99232	4,840	5,010	80	$60	$10.9K
52356	48	100	20	$500	$10.1K
99213	3,837	13,360	80	$60	$9.2K
52005	6	40	30	$300	$9.1K
55700	14	170	20	$280	$9.1K
99215	1,178	3,270	30	$120	$7.7K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urology Specialists Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$423K	$0
Joshua Perkel	GA	Urology Physician	$135.1K	$0
Jason Burnette	GA	Urology Physician	$109.9K	$0
Brian Geary	GA	Urology Physician	$81.1K	$0
Vishal Patel	GA	Urology Physician	$73.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Pediatrics, PC	GA	Specialist	$0	$32.9M
Cogent Healthcare Of Georgia PC	GA	Internal Medicine Physician	$0	$4.6M
Bradley Sumrall	GA	Medical Oncology Physician	$3.1M	$0
Harry Moore	GA	Medical Oncology Physician	$2.9M	$0
Tara Adams	GA	Nurse Practitioner	$2.9M	$0
Macon Outpatient Surgery, LLC	GA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Georgia Em-i Medical Services PC	GA	Physician Assistant	$0	$1.9M
Steven Allee	GA	Ophthalmology Physician	$1.7M	$0
Norman Nelson	GA	Ophthalmology Physician	$1.5M	$0
Central Georgia Cancer Care	GA	Specialist	$0	$1.2M

Frank Casey — Billing Profile & Reimbursement Data

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Frank Casey — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References