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

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

James Fricton (NPI 1639103682)

Field	Value
Entity Type	Individual
Organization	James Fricton
Address	3475 Plymouth Blvd Ste 200
City	Plymouth
State	MN
ZIP	55447
Taxonomy	Orofacial Pain Dentistry
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$17.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	110	$90	$9.8K
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…	30	$110	$2.8K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	60	$40	$2.5K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	50	$50	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

James Fricton — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,060	10,100	70	$80	$8.1K
99204	1,556	3,340	20	$110	$3.6K
G0397	1	10	40	$40	$1.7K
20553	14	70	30	$30	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lois Kehl	MN	Dentist	$13.7K	$0
Shelly Curran	MN	Psychologist	$11.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metropolitan Anesthesia Network, LLP	MN	Anesthesiology Physician	$0	$16.8M
Generation Care Inc.	MN	Home Health Agency	$0	$12.3M
Fulcrum Health, Inc.	MN	Exclusive Provider Organization	$0	$10.1M
Wayzata Public Schools	MN	Local Education Agency (LEA)	$0	$6.4M
Autism Matters, Inc.	MN	Speech-Language Pathologist	$0	$5.5M
Equimed Corporation	MN	Specialist	$828.3K	$30
Adam Schmitt	MN	MOHS-Micrographic Surgery Physician	$240.3K	$0
Kelsey Mason	MN	Nurse Practitioner	$172.3K	$37.2K
Grand St Paul Cvs LLC	MN	Pharmacy	$85.7K	$0
Sandra Montezuma	MN	Ophthalmology Physician	$69K	$0

James Fricton — Billing Profile & Reimbursement Data

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James Fricton — 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