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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Frank Curvin (NPI 1457397382)

Field	Value
Entity Type	Individual
Organization	Frank Curvin
Address	10680 Medlock Bridge Rd Ste 204
City	Johns Creek
State	GA
ZIP	30097
Taxonomy	Family Medicine Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicare	$10.6M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is $10.6M and there is no Medicaid billing on file (listed as "none"). That payer concentration means performance and risk are tightly tied to Medicare reimbursement and utilization patterns rather than a dual-payer mix.

Revenue is extremely concentrated in three wound/skin-substitute add-on codes: Q4205 ($4.5M, 42.6% of Medicare revenue), Q4217 ($4.4M, 41.6%), and Q4169 ($1.5M, 13.9%); these top 3 codes together account for 98.2% of the provider’s Medicare revenue. This level of concentration indicates the practice’s Medicare economics are driven almost entirely by these specific skin-substitute/membrane graft products rather than by routine evaluation-and-management or diversified procedure volume.

The code mix signals a specialized advanced wound-care or skin-substitute operation: Q4205, Q4217, and Q4169 are membrane graft/skin-substitute per cm2 add-on products and 15271 and 15275 also appear in the mix as skin substitute codes. The presence of these high-revenue product codes, alongside procedure-level entries like 97597 (debridement) and 0598T (real-time fluorescence wound imaging), is consistent with a clinic focused on wound assessment, debridement, and application of biologic skin substitutes.

Competitive standing on national benchmarks is mixed but notable: Q4169 ranks #1 of 10 providers nationally (100th percentile; described as "notably above typical national volume"), indicating this provider is a dominant national reporter for that specific product. Q4205 (rank #8 of 63, 89th percentile) and Q4217 (rank #11 of 65, 84th percentile) are high-volume relative to peers but characterized as "typical, unremarkable volume" at those percentiles, so the provider is a high-volume participant but not uniquely dominant for those codes.

Several ancillary procedure lines support the wound-care workflow: 0598T (320 claims, $37.4K, 0.4% of Medicare revenue) shows use of real-time fluorescence imaging to locate infection and measure wounds, and 77002 (269 claims, $24.5K, 0.2% of Medicare revenue) indicates fluoroscopic guidance is used for some interventional procedures. By contrast, traditional office E/M codes such as 99213 ($16.3K, 0.2%) and 99214 ($4.9K, 0.0%) represent a very small share of revenue, reinforcing that this operation is procedure/product-centric rather than E/M-driven.

Several additional codes show above-typical national standing for skin-substitute work beyond the top three: 15271 ($36K, 0.3% of Medicare revenue) ranks #50 of 1157 providers nationally (96th percentile; "notably above typical national volume"), suggesting the provider’s use of skin substitutes extends beyond a single product line and strengthens their competitive footprint in that service line. This breadth in skin-substitute codes could reflect either a wide product formulary or a high-volume wound-practice referral stream.

The provider has an established tenure in Medicare: NPI was enumerated on 2006-06-20 (~20 years ago), indicating long-standing participation and likely established referral relationships or a stable local practice footprint. That longevity combined with the concentrated revenue profile suggests a mature, specialized clinical operation whose financial performance is linked to continued access to those specific product codes.

Operational and payer-risk implication: with 98.2% of Medicare revenue tied to three add-on skin-substitute codes and no Medicaid activity, the practice faces concentrated exposure to changes in coverage, coding, or reimbursement for those products. Any supply, policy, or price shifts affecting Q4205, Q4217, or Q4169 would disproportionately affect total Medicare revenue and therefore overall practice economics.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	3,930	$1,150	$4.5M
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	4,060	$1,090	$4.4M
Q4169	Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)	4,870	$300	$1.5M
0598T	The provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection in the wound and to…	320	$120	$37.4K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	300	$120	$36K
77002	The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…	270	$90	$24.5K
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…	240	$70	$16.3K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	250	$60	$14.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	270	$50	$13.7K
27369	The provider injects contrast material into the knee joint prior to contrast knee arthrography or contrast–enhanced CT or MRI knee arthrography to enhance the internal structures such as cartilage,…	60	$150	$8.6K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Frank Curvin — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4205	1	10	3,930	$1,150	$4.5M
Q4217	1	10	4,030	$1,050	$4.2M
Q4169	1	10	4,870	$300	$1.5M
99214	9,882	13,640	120	$80	$17.8K
0598T	1	10	200	$90	$16.3K
99349	258	260	80	$80	$15.6K
97530	1,475	1,830	360	$20	$13.2K
97110	2,009	2,150	500	$20	$12.6K
99213	2,617	13,360	80	$60	$9.2K
97112	1,659	1,790	300	$20	$9.2K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grady Ems LLC	GA	Land Ambulance	$6M	$66.8K
Grady Memorial Hospital Corporation	GA	Family Medicine Physician	$0	$5.9M
Children's Healthcare Of Atlanta At Hughes Spalding	GA	Children's Hospital	$0	$5.2M
Vision Medical Consulting, P.C.	GA	Family Medicine Physician	$0	$4.6M
Grady Memorial Hospital Corporation	GA	General Acute Care Hospital	$0	$1.7M
Vivia Frankson	FL	Family Nurse Practitioner	$1.5M	$0
Ramzi Ghosn	GA	Family Medicine Physician	$581.2K	$0
Robert Collins	GA	Cardiovascular Disease Physician	$530.4K	$0
Marlene Young	RI	Nurse Practitioner	$399.8K	$0
Patrick Antoine	GA	Internal Medicine Physician	$333.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zywie Inc	GA	Physiological Laboratory	$5.8M	$632.2K
Urology Surgery Center Johns Creek LLC	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Minimed Distribution Corp.	GA	Durable Medical Equipment & Medical Supplies	$0	$869.7K
Theresa Mosley	GA	Marriage & Family Therapist	$0	$720.7K
Danielle Um	GA	Nurse Practitioner	$461.5K	$0
Tanya Pandya	GA	Family Medicine Physician	$334.8K	$0
Digestive Care Endoscopy	GA	Ambulatory Surgical Clinic/Center	$323.4K	$0
Naveed Ummed	GA	Psychiatry Physician	$241.7K	$0
Taryn Anthony	GA	Physical Therapist	$239.9K	$0
Gregory Robertson	GA	Interventional Cardiology Physician	$204.8K	$0

Frank Curvin — 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