Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Frane
    Ask Trek AI about this page

    Nicholas Frane — Billing Profile & Reimbursement Data

    NPI 1265889174 · Plainview, NY · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Nicholas Frane — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nicholas Frane is a orthopaedic surgery physician provider located in Plainview, New York. This profile covers 8 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Frane
    Address888 Old Country Rd
    CityPlainview
    StateNY
    ZIP11803
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 20, 2016

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

    Payer SourceTotal Paid
    Medicare$47.7K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…20$890$17.7K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…20$930$14K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$8.8K
    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…60$70$4.2K
    73501In this diagnostic procedure, the provider takes an X–ray image of one hip, either left or right, from a single projection (direction or angle) to check for  fracture, swelling, or other reason for…40$20$1.1K
    73552In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…30$30$750
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$60$640
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.20$30$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    272456010020$1,040$20.7K
    2723696010$940$15K
    9921318,24631,44080$70$12.1K
    992229707,87030$110$5.9K
    992211,5271,65020$70$2.6K
    730301,3061,63040$20$1.5K
    735013417020$10$550
    7355227964030$10$490

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Banner - University Physician Specialists LLCAZMulti-Specialty Clinic/Center$0$16.9M
    Regions HospitalMNEmergency Medicine Physician$0$15.1M
    Regions HospitalMNGeneral Acute Care Hospital$0$5.6M
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Tamara LundeenAZDiagnostic Radiology Physician$802.6K$0
    John ZeyerMNOphthalmology Physician$521K$5.5K
    Kevin KlassenAZCardiovascular Disease Physician$513.1K$0
    Kalpesh PatelAZDiagnostic Radiology Physician$409.1K$0
    Bruce KletscherAZUrology Physician$353.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Island Therapy Associates, LLC D/b/a All About KidsNYDevelopmentally Disabled Services Day Training Agency$0$26.9M
    Central Nassau Guidance & Counseling Services, Inc.NYMental Illness Community Based Residential Treatment Facility$0$26M
    Acupath Laboratories, Inc.NYClinical Medical Laboratory$6.5M$14.8M
    Renal Focus Asc LLCNYAmbulatory Surgical Clinic/Center$4.2M$79.6K
    Bijan Setareh-shenasNYDermatology Physician$1.4M$2.8M
    Peter BrennenNYRetina Specialist (Ophthalmology) Physician$3M$339.3K
    Mehran SabooriNYRadiation Oncology Physician$1.5M$0
    Shawn ZimbergNYRadiation Oncology Physician$1.1M$0
    Mohsen PahlavanNYNephrology Physician$768.8K$305K
    Prem ChatparNYRheumatology Physician$939.3K$5.3K

    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. New York Distribution
    Nicholas Frane — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York