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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Timothy Frost (NPI 1275575383)

Field	Value
Entity Type	Individual
Organization	Timothy Frost
Address	1401 10th St
City	Alamogordo
State	NM
ZIP	88310
Taxonomy	Specialist
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$552.7K
Medicaid	$0

Key Findings

The provider’s code mix is concentrated in radiation therapy services: the largest billed codes are 77280, G6001, and 77401, which correspond to simulation/port localization, ultrasonic guidance for field placement, and a now-deleted planning/therapy code respectively. This profile—heavy on imaging/simulation and image-guided radiation delivery—is consistent with a practice focused on external beam radiation therapy rather than primary care or procedural dermatology.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 86.5% of this provider’s total Medicare revenue. Individually those top codes are 77280 ($263.4K, 47.7% of Medicare revenue), G6001 ($176.3K, 31.9%), and 77401 ($38.1K, 6.9%), so business performance is tightly linked to continued reimbursement and utilization of these few services.

77280 is a clear national outlier for this provider: 1.4K claims, $195 avg paid/claim, $263.4K revenue (47.7% of Medicare revenue) and it ranks #63 of 3348 providers nationally (98th percentile; extreme outlier). This positioning implies unusually high volume or focus on simulation/port localization relative to nearly all peers and makes the practice nationally prominent for that specific service.

G6001 and 77401 are also high-volume lines but less extreme: G6001 shows 1.4K claims, $130 avg paid/claim, $176.3K revenue (31.9%) and ranks #51 of 280 providers nationally (82th percentile; typical, unremarkable volume for this code), while 77401 reports 1.3K claims, $29 avg paid/claim, $38.1K revenue (6.9%) and ranks #67 of 426 providers nationally (84th percentile; typical, unremarkable volume for this code). These rankings indicate the provider operates above median peer volumes for image-guidance and planning codes but only 77280 meets the dataset’s “extreme outlier” threshold.

The deletion of 77401 effective Jan. 1, 2026 is a tangible near-term revenue exposure: that code currently represents $38.1K (6.9% of Medicare revenue). Given that 77401 is one of the top-three revenue drivers, the practice may need to shift workflow or coding to preserve revenue if payers and clinical workflows do not provide a direct substitute.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $552.7K and there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s public-payer exposure and negotiating leverage are concentrated entirely in Medicare reimbursement dynamics.

Operational scale and tenure: the NPI was enumerated 2006-06-12 (~20 years ago), signaling an established presence, yet lifetime Medicare receipts of $552.7K suggest a relatively modest Medicare revenue footprint overall. Combined with the heavy concentration in a few radiation therapy codes, this pattern points to a specialized, narrowly focused practice rather than a broad multispecialty or large hospital-affiliated revenue base.

Non-therapy E&M and minor procedure revenue is small relative to radiation services: for example, 99213 records 143 claims, $65 avg paid/claim, $9.3K revenue (1.7% of Medicare revenue), and other minor dermatologic or dosimetry codes each contribute well under 2% of total Medicare revenue. This underscores that clinical activity and billing effort are dominated by therapy planning and image-guidance procedures rather than office-based evaluation and management.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	1,350	$200	$263.4K
G6001	Ultrasonic guidance for placement of radiation therapy fields	1,360	$130	$176.3K
77401	Deleted effective Jan. 1, 2026.	1,320	$30	$38.1K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	200	$150	$29K
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…	140	$70	$9.3K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	120	$60	$7.1K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	90	$50	$4.3K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	30	$130	$4.2K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	90	$40	$3.9K
77261	The provider decides the location and the number of ports, or the points for the radiation beams to enter the body, the design and location of the shielding blocks, and the modes of therapy, e.g.,…	60	$50	$3.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Timothy Frost — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6001	1	10	970	$130	$127.5K
77280	1	10	50	$190	$45.8K
77427	7	20	130	$150	$24.1K
77401	1	10	310	$30	$14.7K
11102	72	70	140	$60	$11.6K
17110	84	100	80	$70	$10.5K
17000	70	110	220	$30	$10.4K
17004	36	60	50	$100	$9.3K
77336	3	10	120	$60	$9.3K
99213	668	2,440	60	$50	$7.3K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Pitcher	NM	Ophthalmology Physician	$5.1M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Mark Carmichael	CA	Hematology & Oncology Physician	$3.1M	$0
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
Daniel Kasuga	TX	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Richard Hwang	TX	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Joseph Furlong	TX	Diagnostic Radiology Physician	$2.4M	$39.7K
Ryan Robetorye	AZ	Clinical Pathology/Laboratory Medicine Physician	$2.3M	$0
Jeremy Cuthbertson	TX	Retina Specialist (Ophthalmology) Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Otero County Hospital Association	NM	General Acute Care Hospital	$0	$73.2M
American Medical Response Ambulance Service Inc	NM	Ambulance	$3M	$23.9M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Fillmore Eye Clinic Incorporated	NM	Ophthalmology Physician	$0	$6.2M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$5.2M
Rail Junction Emergency Physicians LLC	NM	Emergency Medicine Physician	$0	$4.4M
New Mexico Em-i Medical Services, P.C	NM	Nurse Practitioner	$0	$4.4M
Zia Therapy Center, Inc.	NM	Clinic/Center	$0	$4.3M
Fillmore Eye Clinic Incorporated	NM	Ambulatory Surgical Clinic/Center	$2.6M	$1.3M
Four Corners Emergency Physicians PLLC	NM	Emergency Medicine Physician	$0	$3.2M

Timothy Frost — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References