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    OpenPayerNPI Medicare & MedicaidLawrence Frank
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    Lawrence Frank — Billing Profile & Reimbursement Data

    NPI 1861468811 · Elmhurst, IL · Physical Medicine & Rehabilitation Physician

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    Lawrence Frank is a physical medicine & rehabilitation physician provider located in Elmhurst, Illinois. This profile covers 15 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
    OrganizationLawrence Frank
    Address1200 S York St Ste 3160
    CityElmhurst
    StateIL
    ZIP60126
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$91.2K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…340$100$33.9K
    99204The 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$130$14.3K
    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…170$70$12.6K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…100$80$7.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$50$4.3K
    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…50$90$4K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$100$3.1K
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…30$80$2.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…30$100$2.6K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…20$150$2.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448320728070$180$20.8K
    992143,38918,540110$80$17.1K
    7700226833030$80$12.9K
    6449318724050$170$11.8K
    992134,30717,39070$60$8.8K
    9588611524090$60$8.1K
    206106531,55060$50$7.6K
    992047548,58030$110$5.6K
    6448413815050$70$4.7K
    6449416020040$80$4.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amar HamadILHematology & Oncology Physician$3M$97.1K
    Martins AdeoyeILChild & Adolescent Psychiatry Physician$40.4K$2.2M
    Shah AlamILHospitalist Physician$96.7K$1M
    Elmer MurdockILInterventional Cardiology Physician$1M$64K
    Samuel HaywardILEmergency Medicine Physician$132.9K$775.6K
    Anish AminILInterventional Cardiology Physician$694.7K$67.3K
    Cash CaseyILClinical Cardiac Electrophysiology Physician$621.3K$45.2K
    Pratik ParikhILInterventional Cardiology Physician$589.1K$58.2K
    Dara Pumphrey-ruizMAPsychiatry Physician$19.9K$625.6K
    Ghassan AldurraILPsychiatry Physician$192.7K$359.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Superior Air-ground Ambulance Service, IncILLand Ambulance$16.1M$90.5M
    Shield - Denver Health Care Center, Inc.ILParenteral & Enteral Nutrition Supplies (DME)$0$100.7M
    Rehabtech Supply, LLCILDurable Medical Equipment & Medical Supplies$0$89M
    Home Medical Express Inc.ILOxygen Equipment & Supplies (DME)$0$22M
    Trilab, LLCILClinical Medical Laboratory$718K$19.3M
    Total Spectrum, LLCILBehavior Analyst$0$8.5M
    Alvaro CandelILAnatomic Pathology & Clinical Pathology Physician$61.8K$6.4M
    Saad AhmadILOphthalmology Physician$3.3M$2.4M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M

    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. Illinois Distribution
    Lawrence Frank — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois