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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrank Fumich
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    Frank Fumich — Billing Profile & Reimbursement Data

    NPI 1811977382 · Lima, OH · Orthopaedic Surgery of the Spine Physician

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    Frank Fumich is a orthopaedic surgery of the spine physician provider located in Lima, Ohio. This profile covers 26 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
    OrganizationFrank Fumich
    Address801 Medical Dr
    CityLima
    StateOH
    ZIP45804
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$302.7K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…30$1,390$44.3K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.30$1,330$43.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…50$700$38K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.130$160$21.7K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$570$18.2K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$1,190$16.6K
    22552The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…50$310$15.8K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…50$290$15.5K
    22846The provider places spinal instrumentation at the front of the spine across four to seven vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$590$11.8K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…420$20$9.3K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612609020$990$23.8K
    2255124010$1,390$22.2K
    22633116020$970$21.2K
    226146311060$220$16.1K
    630471517020$540$13.5K
    9921417,62220,010100$70$11.7K
    228421912020$430$9.5K
    22840376010$420$7.5K
    2284611010$440$7K
    7214812448050$70$7K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Mary Rutan HospitalOHGeneral Acute Care Hospital$0$15.8M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Melissa KloeppelOHFamily Nurse Practitioner$360.4K$0
    Jeffery McmathOHOrthopaedic Surgery Physician$324.8K$0
    Selvon St. ClairOHOrthopaedic Surgery of the Spine Physician$314K$0
    Dhiraj WarmanFLCardiovascular Disease Physician$286K$0
    James PattersonOHAdult Reconstructive Orthopaedic Surgery Physician$285.4K$0
    Omar KhanOHUrology Physician$284.9K$0
    Derek SnookOHOrthopaedic Surgery of the Spine Physician$243.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lima Memorial Joint Operating CompanyOHGeneral Acute Care Hospital$0$28.4M
    Health Partners Of Western OhioOHFederally Qualified Health Center (FQHC)$0$21.7M
    Family Resource Center Of Northwest Ohio IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$17.9M
    Lima Memorial Professional CorporationOHSpecialist$0$8.5M
    Venkat BattulaOHCardiovascular Disease Physician$269.5K$0
    Samir PatelOHOrthopaedic Hand Surgery Physician$242.7K$0
    Paul AnikeOHCardiovascular Disease Physician$216.9K$0
    Chad BroeringOHOrthopaedic Surgery Physician$213.4K$0
    Vadak RanganathanOHNeurology Physician$62.6K$144K
    Masroor AbroOHInternal Medicine Physician$200.6K$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
    Frank Fumich — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio