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

Why is the Medicaid comparison limited to North 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. North 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.

Anthony Frasca (NPI 1508885443)

Field	Value
Entity Type	Individual
Organization	Anthony Frasca
Address	126 Fiddlers Run Blvd
City	Morganton
State	NC
ZIP	28655
Taxonomy	Psychiatry Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$57.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	210	$130	$26.5K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	1,060	$20	$25.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	100	$30	$3K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$140	$2.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Anthony Frasca — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	366	5,720	40	$110	$7.7K
99205	1,427	2,290	20	$140	$4.9K
G2212	2	220	40	$20	$1.9K
96136	7	60	30	$30	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jessica Hildebrand	NC	Hematology & Oncology Physician	$348.6K	$0
Juliet Fallah	TX	Diagnostic Radiology Physician	$339.6K	$4.3K
Amy Chudgar	NC	Diagnostic Radiology Physician	$294.4K	$0
Peter Watson	NC	Medical Oncology Physician	$239.7K	$0
Nathan Fergus	NC	Diagnostic Radiology Physician	$175.9K	$0
Brian Perry	NC	Diagnostic Radiology Physician	$167.2K	$0
Steven Isserman	NC	Cardiovascular Disease Physician	$152.5K	$0
Benjamin Cooper	CO	Diagnostic Radiology Physician	$129.6K	$20.8K
Scott Glasser	CO	Diagnostic Radiology Physician	$137.6K	$500
David Clark	NC	Pulmonary Disease Physician	$137.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Pediatrics PA	NC	Pediatrics Physician	$0	$22.4M
Blue Ridge Healthcare Hospitals, Inc.	NC	General Acute Care Hospital	$0	$20.1M
A Caring Alternative, LLC	NC	Community/Behavioral Health Agency	$0	$19.7M
One Love Periodic Services Inc	NC	Community/Behavioral Health Agency	$0	$16.8M
Catawba Valley Medical Services	NC	In Home Supportive Care Agency	$0	$11.9M
Total Home Care Inc	NC	Durable Medical Equipment & Medical Supplies	$0	$10.7M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.7M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$9.1M
A Caring Alternative, LLC	NC	Community/Behavioral Health Agency	$0	$7.9M
S. Ross Penland, Dmd, Pa-morganton, P.L.L.C	NC	General Practice Dentistry	$0	$7.2M

Anthony Frasca — Billing Profile & Reimbursement Data

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Anthony Frasca — 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