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

Why is the Medicaid comparison limited to New York 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. New York (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.

Douglas Frank (NPI 1629055215)

Field	Value
Entity Type	Individual
Organization	Douglas Frank
Address	10 Union Sq E
City	New York
State	NY
ZIP	10003
Taxonomy	Otolaryngology Physician
NPI Enumerated	December 27, 2005

Payer Source	Total Paid
Medicare	$95.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	330	$110	$34.8K
60500	In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…	10	$960	$12.5K
42415	The provider excises the lateral lobe of a parotid tumor or the parotid glad with dissection and preservation of the facial nerve.	10	$920	$11.1K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	80	$120	$9.6K
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…	90	$100	$8.8K
60220	This is a procedure involving complete surgical removal of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the…	10	$690	$8.3K
99204	The provider sees a new 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 provider…	40	$150	$6.5K
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…	20	$170	$2.5K
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…	20	$70	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Douglas Frank — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,144	30,450	90	$100	$19K
60500	24	30	20	$800	$16.8K
99213	26,369	31,440	80	$70	$12.1K
99215	7,158	8,280	40	$140	$10.1K
42415	1	10	10	$820	$9.9K
31575	209	580	60	$100	$8.8K
60220	4	10	10	$630	$7.6K
99204	5,057	14,170	30	$130	$6.6K
99203	1,821	11,360	30	$90	$4.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Management Services, Inc.	NY	Home Health Agency	$0	$85.7M
New York Eye & Ear Infirmary	NY	Special Hospital	$0	$38.9M
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$32.2M
Realization Center, Inc.	NY	Clinic/Center	$0	$27.2M
Gpddc, LLC	NY	Ambulatory Surgical Clinic/Center	$401.4K	$11.7M
Jonathan Feistmann	NY	Ophthalmology Physician	$2.7M	$3.1M
Louis Angioletti	NY	Retina Specialist (Ophthalmology) Physician	$2.2M	$31.6K
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Navin Mehta	NY	Ophthalmology Physician	$460K	$875.8K
Alan Dayan	NY	Retina Specialist (Ophthalmology) Physician	$838.6K	$226.1K

Douglas Frank — Billing Profile & Reimbursement Data

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Douglas Frank — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References