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    OpenPayerNPI Medicare & MedicaidWilliam Frohn
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    William Frohn — Billing Profile & Reimbursement Data

    NPI 1700888906 · New Albany, MS · Specialist

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    William Frohn is a specialist provider located in New Albany, Mississippi. This profile covers 5 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Frohn
    Address236 Starlyn Ave
    CityNew Albany
    StateMS
    ZIP38652
    TaxonomySpecialist
    NPI EnumeratedJune 1, 2005
    NPI DeactivatedMarch 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$633.3K
    Medicare$6.3K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$60$2.1K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.40$40$1.6K
    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…20$70$1.2K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory20$40$760
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination20$40$700

    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

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992133,0864,000100$50$10.3K
    992031,0501,48030$60$3.5K
    Q00918412030$40$2.1K
    G010114718040$30$2K
    7683027020$70$1.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    59426This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…2,820$90$259.8K
    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…1,990$50$105.3K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.1,270$80$98.7K
    59425This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…540$90$46K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.410$60$22.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.610$30$16.3K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.600$30$16.3K
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…440$30$13.3K
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.720$20$10.8K
    87480The lab analyst performs a test for Candida species using direct nucleic acid probe technique.720$20$10.8K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6901,910930$60$278.7K
    59426This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…401201,480$90$263.1K
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…810680$40$253.7K
    59425This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…73120890$90$145.2K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.2880520$60$100.8K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.2860320$50$93.6K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.6880410$70$80.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.46110510$20$70K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.46110490$20$68.8K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…111130280$60$47.7K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital Union County, Inc.MSGeneral Acute Care Hospital$0$32.8M
    Cooks Healthcare, LLCMSIn Home Supportive Care Agency$0$24.8M
    Internal Medicine And Pediatric Clinic Of New Albany, PLLCMSInternal Medicine Physician$0$9.9M
    New Albany Ob/gyn Clinic PCMSClinic/Center$0$6.5M
    Spartan Orthopaedics, LLCMSOrthopaedic Surgery Physician$0$2.8M
    James GoogeMSPediatrics Physician$0$2.4M
    Cooks Adult Day Care LLCMSHome Health Agency$0$1.5M
    Renal Care Group Tupelo, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M
    James ColemanMSDentist$0$1.2M
    Marley RumbargerMSNurse Practitioner$416.3K$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. Mississippi Distribution
    William Frohn — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    William Frohn — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi