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

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

Travis Frogley (NPI 1518508928)

Field	Value
Entity Type	Individual
Organization	Travis Frogley
Address	5975 W Overland Rd
City	Boise
State	ID
ZIP	83709
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 7, 2019

Payer Source	Total Paid
Medicare	$884.3K
Medicaid	$0

Key Findings

TRAVIS FROGLEY is a Family Nurse Practitioner in BOISE, ID with an NPI enumerated 2019-10-07 (~7 years ago). His lifetime Medicare revenue is $884.3K and there is no Medicaid billing on file, making his billing profile effectively single-payer (Medicare) in scale.

Revenue is highly concentrated in three injectable biologic codes: the precomputed top-3 Medicare codes account for 93.9% of this provider's total Medicare revenue. The three lead codes are J1306 ($383.4K, 44.0% of Medicare revenue), J0897 ($223.5K, 25.6%), and J3111 ($211.7K, 24.3%).

The code mix points to a specialty injection/infusion practice focused on biologic therapies rather than general primary-care office visits: J1306 is inclisiran (lipid-lowering), J0897 is denosumab (bone health), and J3111 is romosozumab (bone building). Smaller but present chemotherapy and infusion administration codes such as 96413 ($37K) and 96365 ($8.5K) indicate some capacity to administer IV or SC therapies, but these services are modest contributors compared with the top three injectables.

For J1306 the provider is a national high-volume performer: he ranks #23 of 462 providers nationally (95th percentile) and is described as notably above typical national volume for this code. That single code alone drives $383.4K (44.0%) of the provider's Medicare revenue, making inclisiran administration a dominant revenue driver.

J0897 and J3111 are important revenue lines but are less exceptional in national standing: J0897 ranks #867 of 10057 providers nationally (91th percentile; typical, unremarkable volume for this code) and J3111 ranks #206 of 970 providers nationally (79th percentile; typical, unremarkable volume for this code). Both codes together contribute over half of the remaining Medicare revenue after J1306, indicating a focused but not unusual market position for denosumab and romosozumab.

The absence of any Medicaid billing on file (Total Medicaid revenue: none) means the provider lacks payer diversification into Medicaid; the practice is thus materially exposed to Medicare payment policy and utilization shifts. This concentration could compress access to non-Medicare patient panels and may limit in-network negotiations that rely on multi-payer leverage.

Being enumerated roughly 7 years ago and having accumulated $884.3K in Medicare revenue concentrated in a small set of high-cost biologic injectables suggests a deliberate, relatively recent operational emphasis on these specialty therapies. That timeline and concentration imply the practice has scaled a narrow set of services quickly rather than growing a broad primary-care claim mix.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1306	Injection, inclisiran, 1 mg	42,600	$10	$383.4K
J0897	Injection, denosumab, 1 mg	11,760	$20	$223.5K
J3111	Injection, romosozumab-aqqg, 1 mg	26,460	$10	$211.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	490	$80	$37K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	220	$40	$8.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	320	$10	$2.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	90	$20	$1.6K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	130	$10	$1.2K
J3489	Injection, zoledronic acid, 1 mg	130	$10	$750
J1720	Injection, hydrocortisone sodium succinate, up to 100 mg	50	$10	$700

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Travis Frogley — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1306	1	10	42,600	$10	$399.6K
J3111	2	10	23,420	$10	$295.7K
J0897	2	30	2,580	$20	$76.2K
96413	4	20	250	$90	$26K
96365	5	20	80	$40	$7.4K
96415	7	10	140	$20	$3.3K
96375	7	10	130	$10	$2.2K
J3489	4	10	140	$10	$1.1K
J1720	1	10	50	$10	$720
96372	5	220	40	$10	$590

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
Brenda Baker	AZ	Family Nurse Practitioner	$545.6K	$0
Robert Mannel	FL	Vascular Neurology Physician	$356.4K	$0
Jonathan Baugh	UT	Emergency Medicine Physician	$117.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapy Place, Inc.	ID	Occupational Therapist	$0	$30M
Raise The Bottom Training & Counseling Services, LLC	ID	Addiction (Substance Use Disorder) Counselor	$241.2K	$10.8M
Independent School District Of Boise City	ID	Local Education Agency (LEA)	$0	$7M
Kaleidoscope Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5M
A-1 Home Health Care LLC	ID	Home Health Agency	$0	$4.5M
River City Surgical Center	ID	Ambulatory Surgical Clinic/Center	$0	$4.1M
Hand In Hand LLC	ID	Primary Care Nurse Practitioner	$0	$4.1M
Treasure Valley Pediatric Dentistry	ID	Pediatric Dentistry	$0	$3.2M
Edgewood Spring Creek Overland, LLC	ID	Assisted Living Facility	$0	$2.2M
Sandra Sullivan	ID	Personal Care Attendant	$0	$2.1M

Travis Frogley — 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