Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Frosolone
    Ask Trek AI about this page

    Charles Frosolone — Billing Profile & Reimbursement Data

    NPI 1750351276 · Fpo, AE · Surgery Physician

    Customize your policy alerts

    Sign up for Charles Frosolone — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Charles Frosolone is a surgery physician provider located in Fpo, Armed Forces Europe. This profile covers 12 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCharles Frosolone
    AddressUs Naval Hospital Sigonella
    CityFpo
    StateAE (Armed Forces Europe)
    ZIP09636
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 26, 2006

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

    Payer SourceTotal Paid
    Medicare$64.9K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is concentrated in skin and wound repair surgery: the top billed CPTs are 13132, 12032, and 13121, and the platform notes the top 3 Medicare codes by revenue account for 55.7% of total Medicare revenue. That concentration indicates a practice focused on procedural wound repairs and complex closures rather than broad primary care or medical specialties, with major revenue coming from intermediate and complex soft-tissue repairs.

    Total reported Medicare revenue across this provider’s lifetime is $64.9K while there is no Medicaid billing on file; operationally this makes the entity effectively single-payer (Medicare) in the dataset and suggests minimal or no engagement with state Medicaid programs. Analysts should treat Medicaid as absent when modeling payer mix or network participation.

    Code-level revenue shows the largest single contribution from 13132 at $15.9K (24.5% of Medicare revenue), followed by 12032 at $11.1K (17.1%) and 13121 at $9.2K (14.2%). These three codes together are the majority drivers cited in the precomputed top-3 share, reinforcing that complex and intermediate wound repairs on the face, scalp, trunk and extremities are the central service lines for this provider.

    On competitive standing for these Medicare codes, this provider’s ranks are within broad middling percentiles nationally: 13132 ranks in the 45th percentile, 12032 in the 68th percentile, and 13121 in the 38th percentile. Those positions indicate the provider is a modest participant — not a national leader nor an extreme outlier — with relatively typical claim volumes for these commonly billed surgical repair codes.

    Volume and payment details for additional excision and repair codes (116xx series and 114xx series) further support a procedural surgical practice that performs lesion excisions and closures across the face, trunk and extremities. Multiple excision codes appear in the top-paid list (11602, 11642, 11603, 11622, 11623, 11402, 11401), each contributing smaller proportions (ranging from ~2.1% to 6.1% of Medicare revenue) consistent with a mix of routine oncologic and benign lesion excisions supplementing the primary wound-repair caseload.

    The provider’s NPI enumeration date is 2006-01-26 (roughly 20 years ago), indicating long-tenured Medicare eligibility. That tenure, combined with modest lifetime Medicare revenue of $64.9K, suggests a low-volume surgical practice or limited Medicare patient panel rather than recent market entry.

    Several individual code percentile notes imply typical volumes rather than statistical extremes: most listed codes are characterized as “typical, unremarkable volume for this code” across national rankings. This reinforces that billing behavior aligns with expected practice patterns for a surgery physician performing wound repairs and lesion excisions rather than showing atypical utilization intensity.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…40$360$15.9K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.50$240$11.1K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.30$340$9.2K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.40$190$6.7K
    13131The provider repairs a wound measuring 1.1 cm to 2.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…20$300$5.1K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.40$100$3.9K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.30$110$3.2K
    11603The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs.30$120$3K
    11622The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).20$100$2K
    11623The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).20$130$1.9K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1140110N/A$N/A$N/A
    1140210N/A$N/A$N/A
    1160210N/A$N/A$N/A
    1160310N/A$N/A$N/A
    1162210N/A$N/A$N/A
    1162310N/A$N/A$N/A
    1164210N/A$N/A$N/A
    1203110N/A$N/A$N/A
    1203210N/A$N/A$N/A
    1312110N/A$N/A$N/A

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Collin PerriWAPhysician Assistant$3.8M$0
    Reese BliekWAMedical Physician Assistant$508.7K$0
    Duane WhitakerWAMOHS-Micrographic Surgery Physician$175.6K$0
    Amy HopkinsWADermatology Physician$72.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joshua NassiriAE (Armed Forces Europe)Diagnostic Radiology Physician$32.3K$0
    Anthony BiascanAE (Armed Forces Europe)Occupational Medicine Physician$30.2K$0
    Justin DennyAE (Armed Forces Europe)Emergency Medicine Physician$6.8K$0
    Stephanie WallaceAE (Armed Forces Europe)Certified Registered Nurse Anesthetist$5.7K$0
    Ricky VaroneAE (Armed Forces Europe)Medical Physician Assistant$4K$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. Armed Forces Europe Distribution
    Charles Frosolone — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe