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

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

Mark Frankel (NPI 1649306077)

Field	Value
Entity Type	Individual
Organization	Mark Frankel
Address	148 Linden St Ste 109
City	Wellesley
State	MA
ZIP	02482
Taxonomy	Geriatric Psychiatry Physician
NPI Enumerated	February 27, 2007

Payer Source	Total Paid
Medicare	$170.4K
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
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…	680	$150	$99.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	800	$60	$44.7K
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…	220	$100	$23.3K
99205	The provider sees a new 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 provider…	20	$170	$3.1K

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. Massachusetts Distribution

Mark Frankel — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,128	15,410	110	$80	$15.6K
99215	24	6,360	40	$120	$8.9K
90833	4	390	100	$50	$7.2K
99205	1,601	2,430	30	$160	$5.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melrosewakefield Healthcare, Inc.	MA	General Acute Care Hospital	$0	$37.8M
John Kalin	MA	Cardiovascular Disease Physician	$617.9K	$0
David Criss	MA	Cardiovascular Disease Physician	$589.8K	$560
Mohamad El-zaru	MA	Cardiovascular Disease Physician	$543.5K	$0
Gwyn Cattell	VT	Child & Adolescent Psychiatry Physician	$30.8K	$348.3K
Gary Rogers	FL	Dermatology Physician	$364.9K	$0
Timothy Kelliher	MA	Neurology Physician	$310.7K	$10.7K
Michael Arsenian	MA	Cardiovascular Disease Physician	$305K	$12K
Nathan Vanhouzen	MA	Cardiovascular Disease Physician	$294.2K	$400
Jeffrey Rubel	MA	Nephrology Physician	$270.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sheldon Buzney	MA	Ophthalmology Physician	$1.4M	$0
Ikram Farooqi	MA	Geriatric Medicine (Internal Medicine) Physician	$771.9K	$0
Robert Lancaster	MA	Vascular Surgery Physician	$720.8K	$0
Christopher Kwolek	MA	Vascular Surgery Physician	$301.1K	$0
Cvs Pharmacy Inc	MA	Pharmacy	$255.6K	$0
Laura Boitano	MA	Vascular Surgery Physician	$53.3K	$0
Nancy Allonen-allie	MA	Audiologist	$21K	$0

Mark Frankel — Billing Profile & Reimbursement Data

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Mark Frankel — 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