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.

Karen Fromhold (NPI 1609018621)

Field	Value
Entity Type	Individual
Organization	Karen Fromhold
Address	10 North St
City	Vergennes
State	VT
ZIP	05491
Taxonomy	General Practice Physician
NPI Enumerated	April 6, 2009

Payer Source	Total Paid
Medicare	$36.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	140	$140	$19.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	130	$70	$8.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	40	$110	$4.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	$50	$2.2K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$100	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Karen Fromhold — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	30	60	140	$70	$12.6K
99310	16	30	50	$100	$7.8K
99308	32	50	80	$50	$6.9K
99306	2	30	30	$130	$5.6K
99316	18	30	30	$90	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Porter Hospital, Inc	VT	Family Medicine Physician	$0	$1.3M
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
James Fitts	CA	Cardiovascular Disease Physician	$389.7K	$0
Sanjay Bose	KY	Interventional Cardiology Physician	$296.5K	$7.9K
Mattie Towle	OR	Family Medicine Physician	$192.7K	$0
Porter Hospital Inc	VT	Emergency Care Clinic/Center	$0	$163.7K
Matthew Daily	NH	Diagnostic Radiology Physician	$150K	$0
Porter Hospital Inc	VT	Critical Access Hospital	$0	$143.4K
Joseph Winget	VT	Cardiovascular Disease Physician	$140.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vergennes Area Rescue Squad Inc.	VT	Ambulance	$111.1K	$244.8K
David Congalton	VT	Dentist	$0	$177.4K
Daniel Huber	VT	Family Medicine Physician	$92.2K	$0
Specialeyes Professional Eye Care Services, PLLC	VT	Optometrist	$0	$87.1K
Kph Healthcare Services, Inc.	VT	Community/Retail Pharmacy	$74.7K	$0
Amanda Dingman-parini	VT	Clinical Psychologist	$0	$64.3K
Dylan Estes	VT	Family Medicine Physician	$44K	$0
Joel Palmer	VT	Chiropractor	$27.2K	$0
Shauna Mckeon	VT	Adult Health Nurse Practitioner	$23K	$0

Karen Fromhold — Billing Profile & Reimbursement Data

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Karen Fromhold — 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