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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Fracassa
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    Michael Fracassa — Billing Profile & Reimbursement Data

    NPI 1649293846 · Mount Vernon, OH · Podiatrist

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    Michael Fracassa is a podiatrist provider located in Mount Vernon, Ohio. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Fracassa
    Address1641 Venture Drive
    CityMount Vernon
    StateOH
    ZIP43050
    TaxonomyPodiatrist
    NPI EnumeratedJuly 26, 2006

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

    Payer SourceTotal Paid
    Medicare$101.1K
    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
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…520$40$19.6K
    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…260$60$15.2K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.560$20$12.9K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.160$50$8.7K
    11306The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.100$80$8.2K
    11305The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the scalp, neck, hands, feet, or genitals.130$60$8K
    G0127Trimming of dystrophic nails, any number550$10$6K
    99203The 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…70$70$4.6K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.120$30$3.7K
    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…50$70$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
    11721513660330$30$12.9K
    971101,6591,680500$20$12.3K
    1711044968080$70$8.5K
    992132,42320,00070$50$6.6K
    110567132060$50$6.4K
    1172047340120$20$5.9K
    971401,1091,180180$10$5.2K
    G012726130120$10$4.1K
    11306138030$70$3.9K
    1105519529050$50$3.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer ReglerOHFoot & Ankle Surgery Podiatrist$199.6K$0
    Jeffrey WilsonOHPodiatrist$187.8K$0
    Jeffrey LynnOHPodiatrist$113.5K$0
    Beau BortelOHPodiatrist$111.6K$0
    Hillary TudorOHFoot & Ankle Surgery Podiatrist$106.4K$0
    Sarah ViselliOHFoot & Ankle Surgery Podiatrist$87.2K$0
    Gregory BlackOHFoot & Ankle Surgery Podiatrist$63.8K$22.9K
    Billy RutterOHFoot & Ankle Surgery Podiatrist$65.1K$0
    Danelle BooneOHFoot & Ankle Surgery Podiatrist$40.1K$0
    Kimberly CicceroOHFoot & Ankle Surgery Podiatrist$38K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Knox Community HospitalOHGeneral Acute Care Hospital$0$29.3M
    Riverside Recovery Services LLCOHCommunity/Behavioral Health Agency$0$28.7M
    Peoplefirst Homecare & Hospice Of Ohio, LLCOHCommunity Based Hospice Care Agency$0$19.9M
    City Of Mount Vernon City AuditorOHLand Ambulance$452.9K$810.8K
    Jed HenryOHUrology Physician$256.3K$0
    Frederick CarrollOHInternal Medicine Physician$188.8K$0
    Deborah ReederOHOphthalmology Physician$148.5K$270
    Gangaram RasaOHCardiovascular Disease Physician$99.1K$960
    Gregory JohnsonOHPsychologist$74K$0
    Michael HeumanOHSurgery Physician$66K$0

    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. Ohio Distribution
    Michael Fracassa — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio