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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoshua Frame
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    Joshua Frame — Billing Profile & Reimbursement Data

    NPI 1437143443 · St George, UT · Internal Medicine Physician

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    Joshua Frame is a internal medicine physician provider located in St George, Utah. This profile covers 45 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
    OrganizationJoshua Frame
    Address292 South 1470 East
    CitySt George
    StateUT
    ZIP84790
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 6, 2005

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

    Payer SourceTotal Paid
    Medicare$394K
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,620$80$134.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit680$130$84.4K
    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…790$60$46.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…140$140$20K
    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…90$210$18.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…170$70$12.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,430$10$11.4K
    G0444Annual depression screening, 5 to 15 minutes630$20$11.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.630$10$8.2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…800$10$8K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309121130150$70$31.7K
    99306176070$130$15.5K
    9921494,08080$80$11.6K
    9930863100110$50$11.2K
    G0439399060$120$10.8K
    9949636020$210$6.6K
    99213353,68060$50$6.4K
    9067716038020$270$6.1K
    906625557040$70$4.8K
    992046811,79030$100$4.1K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph WoolleyUTInternal Medicine Physician$510K$0
    Jason SwigertUTInternal Medicine Physician$313.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$65.8M
    Southwest Utah Community Health CenterUTFederally Qualified Health Center (FQHC)$0$7.3M
    Zion Eye Institute, IncUTAmbulatory Surgical Clinic/Center$6.1M$19.7K
    Summit Behavior ServicesUTCounselor$0$5.4M
    Ihc Health Services IncUTMulti-Specialty Clinic/Center$0$4.4M
    Ron LordUTOphthalmology Physician$3.2M$0
    Joshua CarlsonUTRetina Specialist (Ophthalmology) Physician$2.6M$0
    St George Surgical Center LPUTAmbulatory Surgical Clinic/Center$2.5M$0
    Coral Desert Surgery Center LLCUTAmbulatory Surgical Clinic/Center$2.5M$17.8K
    Ihc Health Services IncUTClinical Medical Laboratory$2.4M$42.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Joshua Frame — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah