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 South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Amylynne Frankel (NPI 1437318607)

Field	Value
Entity Type	Individual
Organization	Amylynne Frankel
Address	1650 Skylyn Dr Ste 402
City	Spartanburg
State	SC
ZIP	29307
Taxonomy	Dermatology Physician
NPI Enumerated	June 3, 2008

Payer Source	Total Paid
Medicare	$635.6K
Medicaid	$0

Key Findings

This provider’s top Medicare revenue driver is J3245 (Injection, tildrakizumab), which generated $264K and represents 43.0% of her Medicare revenue; coupled with high-volume evaluation-and-management visits and lesion destruction codes, the mix is consistent with a dermatology practice that delivers both office-administered biologic therapy and procedural dermatologic services. The presence of J3245 as the single largest revenue line suggests in-office biologic administration and associated follow-up care are central to the business model.

Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 62.5% of this provider's total Medicare revenue, with J3245 ($264K, 43.0%), 99213 ($71.7K, 11.7%), and 17110 ($48.4K, 7.9%) together supplying the majority of Medicare receipts. This concentration signals that shifts in reimbursement or utilization for one or two codes—particularly the biologic injection—would materially affect total Medicare revenue.

Payer mix is effectively single-payer: Medicare revenue totals $635.6K while Medicaid shows none on file, so the practice currently depends on Medicare for all reported public-payer revenue. That lack of Medicaid billing means analysts should treat Medicaid as absent from the provider’s current public-payer footprint rather than underrepresented.

Competitive standing for the biologic line is modest: J3245 ranks #169 of 225 providers nationally (24th percentile) and is labeled "typical, unremarkable volume for this code," indicating this provider is not a national leader in tildrakizumab administration despite it driving a large share of her revenue. In contrast, the biologic’s revenue importance to this specific practice is high even though national volume for the code is not exceptional.

Clinical volume indicators show unusually high E/M throughput: 99213 is an extreme outlier, ranking #4093 of 457151 providers nationally (99th percentile; "extreme outlier, far above typical national volume for this code"), and 99203 also ranks at the 99th percentile. These rankings point to very high visit volumes relative to national peers and suggest the practice has a heavy outpatient visit cadence—likely driven by routine follow-ups for medical dermatology and therapy monitoring.

Procedural dermatology is a meaningful secondary revenue stream: 17110 generated $48.4K (7.9%) and ranks #397 of 19650 providers nationally (98th percentile; "notably above typical national volume for this code"), while 12032 produced $26.9K (4.4%) from 127 claims. Together these surgical and lesion-destruction codes demonstrate sustained procedural throughput in addition to medical therapy and visits.

This profile carries operational and revenue risk tied to drug administration: with J3245 contributing $264K (43.0%) of Medicare revenue and the top three codes covering 62.5% of total Medicare revenue, any change in coverage, utilization, or pricing for tildrakizumab or in-office administration policies could disproportionately impact the practice’s Medicare receipts. Analysts should monitor drug-specific policy and reimbursement trends when modeling future revenue for this provider.

The provider has a long-tenured Medicare NPI (enumerated 2008-06-03, ~18 years ago), indicating an established practice presence in Spartanburg, SC; combined with the high national percentiles for several visit and procedure codes, this suggests an experienced, high-volume dermatology practice focused on ongoing outpatient care and procedural services rather than on Medicaid-covered populations.

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	2,400	$110	$264K
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…	1,200	$60	$71.7K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	650	$80	$48.4K
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.	1,020	$40	$36.7K
99214	The 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…	350	$80	$29.3K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	130	$210	$26.9K
99203	The provider sees a new 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 provider…	330	$70	$23.9K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	60	$290	$17.9K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	3,270	$10	$16.3K
99204	The provider sees a new 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 provider…	110	$120	$12.3K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Amylynne Frankel — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	20	3,800	$110	$435.3K
99214	196	7,860	160	$80	$23.2K
J7308	1	20	20	$300	$17.5K
11102	67	260	220	$60	$16.7K
17110	1	280	140	$70	$15.2K
17000	1	300	340	$30	$15K
12032	2	130	50	$190	$14.9K
11312	1	10	30	$100	$13.4K
17004	19	170	50	$110	$12.7K
11306	1	40	80	$60	$12.3K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah Dugan	AZ	Family Nurse Practitioner	$2.9M	$0
Jeffrey Smith	SC	Dermatology Physician	$2.6M	$0
Maria Jill Alfonso	NV	Family Nurse Practitioner	$1.6M	$0
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
Andrew Styperek	FL	Procedural Dermatology Physician	$1.2M	$0
Nicole Siddons	MN	Family Nurse Practitioner	$1.1M	$0
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charles Lea Center Inc.	SC	In Home Supportive Care Agency	$0	$70.3M
Spartanburg School District 7	SC	Local Education Agency (LEA)	$0	$9.2M
Elite Home Care	SC	In Home Supportive Care Agency	$0	$6.9M
Spartanburg Medical Center	SC	Urgent Care Clinic/Center	$0	$4.2M
Spartanburg Medical Center	SC	Obstetrics & Gynecology Physician	$0	$3.3M
Circle Of Angels Home Health Care	SC	Home Health Agency	$0	$3M
Spartanburg Pediatric Dentistry	SC	Pediatric Dentistry	$0	$2.7M
Mary Black Health System LLC	SC	General Acute Care Hospital	$0	$2.3M
Allergy Partners, PLLC	SC	Allergy & Immunology Physician	$0	$2.2M
Lincare Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$2M

Amylynne Frankel — Billing Profile & Reimbursement Data

Sign up for Amylynne Frankel — Billing Profile & Reimbursement Data policy alerts

Amylynne Frankel — Billing Profile & Reimbursement Data

Sign up for Amylynne Frankel — Billing Profile & Reimbursement Data policy alerts

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