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NPI 1972604007 · Bay Shore, NY · Nephrology Physician
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William Frank is a nephrology physician provider located in Bay Shore, New York. This profile covers 20 Medicare and 8 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 | William Frank |
| Address | 340 Howells Rd |
| City | Bay Shore |
| State | NY |
| ZIP | 11706 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $438.2K |
| Medicaid | $61.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 370 | $340 | $125K |
| 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… | 750 | $120 | $88.7K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 960 | $70 | $70.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 210 | $160 | $33.2K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 90 | $280 | $26.2K |
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 330 | $70 | $21.4K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 130 | $110 | $14.4K |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 1,900 | $10 | $11.4K |
| 90966 | The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,… | 40 | $280 | $10.8K |
| 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… | 60 | $160 | $9.7K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90960 | 50 | 440 | 160 | $300 | $58.7K |
| J0885 | 35 | 50 | 2,530 | $10 | $26.1K |
| 90966 | 54 | 60 | 90 | $240 | $25.3K |
| 99214 | 1,401 | 30,450 | 90 | $100 | $19K |
| 99233 | 3,093 | 8,640 | 80 | $100 | $15.8K |
| 90961 | 51 | 340 | 50 | $250 | $14.7K |
| 99232 | 358 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 19,107 | 31,440 | 80 | $70 | $12.1K |
| 99223 | 447 | 8,650 | 40 | $150 | $9.3K |
| 90962 | 48 | 80 | 30 | $170 | $7.2K |
Showing 1–10 of 20
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 1,060 | $40 | $38.1K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,730 | $10 | $20.8K |
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 430 | $10 | $2.5K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 30 | $30 | $700 |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 10 | $20 | $210 |
| 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… | 10 | $10 | $100 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 30 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 10 | $0 | $0 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 102 | 280 | 210 | $150 | $381K |
| 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… | 14,898 | 16,550 | 220 | $90 | $186.8K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 98 | 440 | 420 | $70 | $52.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 408 | 4,120 | 130 | $30 | $26.7K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 79 | 110 | 30 | $80 | $12K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 115 | 190 | 40 | $60 | $9.6K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,737 | 2,000 | 210 | $1 | $90 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 633 | 680 | 190 | $1 | $20 |
Other providers in the same ZIP code as William Frank, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| South Shore University Hospital | NY | General Acute Care Hospital | $0 | $47.3M |
| Anthony Rizzo | NY | Family Medicine Physician | $1.3M | $153.9K |
| Gerry Rubin | NY | Hematology & Oncology Physician | $730.9K | $113.5K |
| Michael Nett | NY | Orthopaedic Surgery Physician | $718.3K | $3.7K |
| Louis Guida | NY | Specialist | $315.1K | $334.6K |
| Keith Reinhardt | NY | Orthopaedic Surgery Physician | $639.2K | $540 |
| Amit Sharma | NY | Interventional Pain Medicine Physician | $618K | $590 |
| Robert Chow | NY | Infectious Disease Physician | $560.9K | $0 |
| Laura Lennon | NY | Cardiovascular Disease Physician | $502.9K | $34.3K |
| John Muratori | NY | Family Medicine Physician | $495.2K | $10.4K |
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