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NPI 1841256336 · Amherst, NY · Neurology Physician
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Marc Frost is a neurology physician provider located in Amherst, New York. This profile covers 27 Medicare and 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Marc Frost |
| Address | 3980 Sheridan Dr |
| City | Amherst |
| State | NY |
| ZIP | 14226 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | April 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $365.1K |
| Medicaid | $265.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 5,710 | $40 | $217K |
| 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… | 390 | $80 | $31.4K |
| 95816 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 100 | $290 | $27.4K |
| 99204 | The provider sees a new 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 provider… | 110 | $110 | $11.9K |
| 95819 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 30 | $330 | $10.5K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 20 | $440 | $8.7K |
| 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… | 60 | $150 | $8.6K |
| 95708 | The patient undergoes an unmonitored electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours. No video recording is made, and an EEG technologist reviews the… | 60 | $110 | $6.7K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 60 | $100 | $6.3K |
| 95700 | The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient… | 40 | $140 | $5.6K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1561 | 13 | 40 | 3,100 | $40 | $234.9K |
| 99214 | 4,177 | 30,450 | 90 | $100 | $19K |
| 96413 | 266 | 380 | 110 | $110 | $18.1K |
| 95816 | 71 | 320 | 40 | $220 | $17.3K |
| 95819 | 87 | 170 | 30 | $250 | $14.1K |
| 95811 | 137 | 140 | 30 | $300 | $12.4K |
| 99213 | 19,466 | 31,440 | 80 | $70 | $12.1K |
| 95810 | 118 | 180 | 30 | $260 | $10.5K |
| 99215 | 4,291 | 8,280 | 40 | $140 | $10.1K |
| 96365 | 241 | 610 | 80 | $60 | $7.7K |
Showing 1–10 of 27
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 7,090 | $30 | $241.2K |
| 95816 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 200 | $80 | $15.4K |
| 99213 | The 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… | 290 | $20 | $5.8K |
| 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… | 80 | $40 | $3.3K |
| 99443 | N/A | 40 | $30 | $1K |
| 99204 | The provider sees a new 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 provider… | 10 | $60 | $710 |
| 95700 | The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient… | 10 | $40 | $550 |
| 95970 | A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted neurostimulator pulse generator/transmitter to ensure that it… | 30 | $10 | $290 |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 10 | $10 | $160 |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 570 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 10,115 | 19,110 | 360 | $70 | $321K |
| 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… | 726 | 16,550 | 220 | $90 | $186.8K |
| 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… | 1,038 | 2,050 | 90 | $140 | $121.2K |
| 99204 | The provider sees a new 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 provider… | 3,494 | 3,820 | 100 | $130 | $99.7K |
| 95816 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 81 | 230 | 90 | $190 | $82K |
| 95700 | The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient… | 33 | 40 | 120 | $160 | $51.8K |
| 99443 | N/A | 788 | 1,220 | 70 | $70 | $33.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,061 | 1,110 | 230 | $10 | $12.1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 844 | 1,600 | 50 | $10 | $1.2K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 11 | 20 | 570 | $1 | $990 |
Showing 1–10 of 11
Other providers in the same ZIP code as Marc Frost, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Buffalo Beacon Corporation | NY | Addiction (Substance Use Disorder) Counselor | $0 | $36.9M |
| Buffalo Surgery Center LLC | NY | Ambulatory Surgical Clinic/Center | $348.6K | $1.5M |
| Ambulatory Surgery Center Of Wny | NY | Ambulatory Surgical Clinic/Center | $1.2M | $364.7K |
| Wny Medical Management, LLC | NY | Ambulatory Surgical Clinic/Center | $449.7K | $0 |
| Vijay Iyer | NY | Cardiovascular Disease Physician | $158K | $0 |
| Kenneth Hood | NY | Orthopaedic Surgery of the Spine Physician | $119.7K | $0 |
| Michael Vasquez | NY | Vascular Surgery Physician | $114.7K | $1.2K |
| Wisam Elmalik | NY | Neurology Physician | $69.5K | $15.7K |
| Parkview Health Services, LLC | NY | Long Term Care Pharmacy | $24.4K | $60.1K |
| Scott Nodzo | NY | Orthopaedic Surgery Physician | $79.6K | $0 |
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