Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrankie Rholdon
    Ask Trek AI about this page

    Frankie Rholdon — Billing Profile & Reimbursement Data

    NPI 1528252681 · Lafayette, LA · Dermatology Physician

    Customize your policy alerts

    Sign up for Frankie Rholdon — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Frankie Rholdon is a dermatology physician provider located in Lafayette, Louisiana. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrankie Rholdon
    Address101 Rue Fontaine Bldg 1
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyDermatology Physician
    NPI EnumeratedAugust 31, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$176.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…640$80$52.6K
    17110The 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…480$70$30.9K
    99213The 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…460$60$26.8K
    17000The 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.470$30$12.7K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)40$300$10.5K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.140$50$7.1K
    17003In 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…1,550$1$6.2K
    17111The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…60$90$5.6K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.30$110$3.7K
    96567The provider applies a photosensitizing drug to the lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is…40$100$3.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144756,670110$80$16.5K
    J730883020$300$13K
    170047312040$110$11.2K
    171101524080$70$10K
    1700041270150$30$9.1K
    992134266,06070$50$8.1K
    111027223090$60$7.8K
    12032638030$190$7.6K
    1700343240540$1$4.4K
    1711164030$90$4K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsuhn Billing LLCLAMulti-Specialty Clinic/Center$0$45.7M
    Wade MayLACardiovascular Disease Physician$1.8M$0
    Jennifer MalinLARheumatology Physician$1.7M$0
    Lewis MurrayLAOphthalmology Physician$775.2K$610.9K
    Robert BlemLAOphthalmology Physician$1.2M$93.6K
    Ankur LodhaLAInterventional Cardiology Physician$1.2M$0
    Eric ReishLAOphthalmology Physician$975.5K$106.9K
    Agostino IngraldiLAInterventional Cardiology Physician$981.3K$0
    Fernando RuizLAInterventional Cardiology Physician$871.4K$0
    Jacque NoelLAGastroenterology Physician$804.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acadian Ambulance Service, Inc.LAAir Ambulance$38.7M$422.7M
    Pediatric Group Of Acadiana, LLCLASpecialist$0$57.5M
    Leading Health Care Of LaLAIn Home Supportive Care Agency$0$57.4M
    Our Lady Of Lourdes Regional Medical Center, IncLAGeneral Acute Care Hospital$0$54.3M
    Sleep Management, L.L.C.LAOxygen Equipment & Supplies (DME)$0$41.8M
    Medi Trans, LLCLATransportation Broker$0$29.8M
    L & D Community Care, IncLAIn Home Supportive Care Agency$0$24.4M
    Acadiana Acute Care Associates, LLCLAEmergency Medicine Physician$0$20.4M
    Lourdes After Hours LLCLAUrgent Care Clinic/Center$0$20.2M
    Laboratory Corporation Of AmericaLAClinical Medical Laboratory$1.9M$12.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Frankie Rholdon — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana