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

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

Seth Frenzen (NPI 1538112982)

Seth Frenzen is a orthopaedic surgery physician provider located in S. Burlington, Vermont. This profile covers 10 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.

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Seth Frenzen
Address	6 San Remo Dr.
City	S. Burlington
State	VT
ZIP	05401
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$45.2K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29848	The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.	50	$390	$18.6K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	40	$200	$8K
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…	120	$40	$5.5K
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…	80	$60	$5.2K
99203	The provider sees a new 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 provider…	50	$50	$2.8K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	90	$20	$2K
26341	The provider applies manual force to a finger bent by a condition such as Dupuytren's contracture. This service takes place following and on a different day than enzyme injection into the palmar…	20	$50	$1K
20527	The provider injects an enzyme, such as collagenase, into the palmar fascial cord as a therapeutic medical procedure to dissolve an abnormal tissue knot of the palmar fascia, or Dupuytren's…	20	$40	$900
20526	The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…	20	$50	$800
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$20	$500

Seth Frenzen — 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29848	1	10	40	$370	$12.7K
99214	516	960	90	$70	$10.6K
26055	3	10	40	$250	$9.7K
99213	324	910	80	$50	$6.7K
99203	99	310	30	$60	$2.7K
20550	2	20	30	$30	$1000
26341	1	10	20	$50	$1000
20526	3	10	20	$40	$900
20527	1	10	20	$40	$900
20600	4	10	20	$30	$740

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Macy	VT	Orthopaedic Surgery Physician	$25.5K	$0
Andrew Kaplan	VT	Orthopaedic Surgery Physician	$8.6K	$0