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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrank Reda
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    Frank Reda — Billing Profile & Reimbursement Data

    NPI 1336182716 · Toms River, NJ · Internal Medicine Physician

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    Frank Reda is a internal medicine physician provider located in Toms River, New Jersey. This profile covers 15 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrank Reda
    Address129 Route 37 W
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$234.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit580$140$79.9K
    99214The 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…780$90$71.9K
    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…560$60$36K
    G0442Annual alcohol misuse screening, 5 to 15 minutes610$20$12.2K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$230$12.1K
    G0444Annual depression screening, 5 to 15 minutes400$20$8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$180$3.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$170$3.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.6K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…40$40$1.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921488613,640130$90$23.6K
    8763512926030$50$14.5K
    992131,08714,090100$70$13.1K
    992153,6673,75040$140$12K
    G043993,37070$120$11.5K
    994965865020$210$5.8K
    992121,1683,45040$40$3.6K
    9949526259020$150$3.3K
    G040214457020$170$2.9K
    G0442232070$20$2.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rwjbh Emergency Medicine Associates, LLCNJEmergency Medicine Physician$0$117.8M
    Hackensack Meridian Health Medical Group - Primary Care PCNJFamily Medicine Physician$0$21.9M
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Varun BhatiaNJFamily Medicine Physician$504.5K$0
    James OrsiniNJHematology & Oncology Physician$413.3K$0
    Rajagopalan RenganPAPulmonary Disease Physician$360.8K$0
    Brenden BrunnerNJInternal Medicine Physician$351.2K$0
    Shilpan ShahNJInternal Medicine Physician$323K$0
    Ellsworth WrightNJEmergency Medicine Physician$247.3K$0
    Samuel CarinoNJEmergency Medicine Physician$211K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    Mohammedyusuf HajeeNJRetina Specialist (Ophthalmology) Physician$2.6M$0
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$0

    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 Jersey Distribution
    Frank Reda — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey