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NPI 1255478160 · Norfolk, VA · Primary Podiatric Medicine Podiatrist
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Frank Mercer is a primary podiatric medicine podiatrist provider located in Norfolk, Virginia. This profile covers 9 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Frank Mercer |
| Address | 1401 Tidewater Dr |
| City | Norfolk |
| State | VA |
| ZIP | 23504 |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| NPI Enumerated | January 31, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $378.6K |
| Medicare | $97.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 940 | $50 | $47.8K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 500 | $30 | $16.1K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 220 | $60 | $12.4K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 160 | $70 | $12K |
| 11765 | The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail. | 20 | $130 | $3K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 110 | $30 | $2.9K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 60 | $30 | $1.4K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 10 | $80 | $1000 |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 30 | $10 | $370 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 14,550 | $10 | $160K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 11,030 | $10 | $99.3K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 1,650 | $20 | $39.5K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,510 | $20 | $24.1K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 2,630 | $10 | $23.7K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 3,100 | $10 | $21.7K |
| 11765 | The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail. | 140 | $30 | $4.1K |
| G0127 | Trimming of dystrophic nails, any number | 390 | $1 | $1.2K |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 290 | $1 | $1.1K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 40 | $20 | $780 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 99 | 270 | 720 | $20 | $120.2K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 15 | 270 | 490 | $10 | $37.4K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 13 | 10 | 780 | $20 | $27.1K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 4 | 120 | 370 | $10 | $14.1K |
| 11765 | The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail. | 2 | 10 | 110 | $20 | $8.8K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 15 | 120 | 470 | $10 | $6.6K |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 8 | 20 | 250 | $10 | $6K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 2 | 40 | 210 | $10 | $5.5K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 1 | 30 | 40 | $20 | $3.5K |
| G0127 | Trimming of dystrophic nails, any number | 10 | 30 | 70 | $1 | $1.4K |
Other providers in the same ZIP code as Frank Mercer, ranked by combined Medicare and Medicaid revenue.
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