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

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

Sean Frost (NPI 1457375248)

Field	Value
Entity Type	Individual
Organization	Sean Frost
Address	21 E Hollis St
City	Nashua
State	NH
ZIP	03060
Taxonomy	Adult Reconstructive Orthopaedic Surgery Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicare	$111.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	50	$1,020	$55K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$1,010	$20.2K
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…	240	$80	$19.7K
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…	60	$110	$6K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	50	$110	$6K
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…	80	$60	$4.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Sean Frost — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	29	90	40	$1,310	$57.7K
27130	43	70	30	$1,580	$55.3K
99214	765	3,150	110	$80	$13.2K
20985	4	10	50	$110	$7.5K
99213	1,388	2,900	70	$50	$6.9K
99204	325	1,340	30	$100	$4.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Foundation Medical Partners Inc	NH	Internal Medicine Physician	$0	$5.8M
Jason Parks	VT	Radiation Oncology Physician	$1.2M	$0
Robert Lancaster	MA	Vascular Surgery Physician	$720.8K	$0
Sivaram Yamajala	MA	Internal Medicine Physician	$54.1K	$636K
Christine Kannler	MA	MOHS-Micrographic Surgery Physician	$526.4K	$0
Kalyani Govindaraju	NH	Rheumatology Physician	$483K	$0
Julius Tabe	MA	Family Medicine Physician	$449.6K	$2.5K
Mollie Maccormack	NH	MOHS-Micrographic Surgery Physician	$449.5K	$0
Pauline Reohr	MA	Dermatology Physician	$385.6K	$0
Alan Steljes	NH	Cardiovascular Disease Physician	$380.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Council Of Nashua Nh, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$75.7M
Harbor Homes, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$23.4M
Southern New Hampshire Medical Center	NH	General Acute Care Hospital	$0	$22.3M
Life Coping Inc.	NH	Case Management Agency	$0	$17.6M
King Healthcare Group LLC	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15.1M
Plus Co. Inc.	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.8M
St Joseph Hospital Of Nashua Nh	NH	General Acute Care Hospital	$0	$13M
Alpha Home Care Solutions, Inc	NH	Home Health Agency	$0	$8.4M
Lamprey Health Care Inc	NH	Federally Qualified Health Center (FQHC)	$0	$8.1M
Nashua Center For The Multiply Handicapped, Inc.	NH	In Home Supportive Care Agency	$0	$6.8M

Sean Frost — Billing Profile & Reimbursement Data

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Sean Frost — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References