Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. West Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Carrie Frame (NPI 1992904270)

Field	Value
Entity Type	Individual
Organization	Carrie Frame
Address	1 Kenton Dr Ste 100
City	Charleston
State	WV
ZIP	25311
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $1.7M while there is no Medicaid billing on file, indicating a negligible or absent Medicaid footprint in-state and a single-payer dependence on Medicare receipts. The absence of Medicaid claims suggests limited participation in state program networks or a practice focus that does not engage Medicaid populations.

Revenue is highly concentrated in a very small set of product-oriented codes: the precomputed top-3 Medicare codes account for 98.1% of the provider’s total Medicare revenue, with Q4197 and Q4194 alone contributing $874.3K (52.2%) and $727.1K (43.4%) respectively. This concentration implies that the practice’s financial performance is tightly linked to utilization and reimbursement for these specific skin-substitute add-on products.

The code mix and taxonomy (Foot & Ankle Surgery Podiatrist) point to a wound-care and advanced skin substitute business model rather than a high-volume primary care or general podiatry clinic: Q4197 (6.7K claims, $131 avg paid/claim) and Q4194 (901 claims, $807 avg paid/claim) are per-square-centimeter skin substitute add-ons, and 15275 (352 claims, $116 avg paid/claim) further supports routine use of skin substitutes for wound coverage. These patterns are consistent with a specialist who performs procedures or supplies expensive biologic grafts for chronic or complex foot and lower-extremity wounds.

Several of the provider’s top codes are statistical outliers nationally: Q4197 ranks #3 of 82 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code) and 15275 ranks #20 of 888 (98th percentile; extreme outlier). Those rankings indicate the provider is a dominant national outlier for select skin-substitute procedures and supplies, not a modest local participant, which may reflect a specialized service line or concentrated referral pipeline.

Other service lines appear modest relative to the skin-substitute business: traditional E/M visits such as 99213 (120 claims, $59 avg paid/claim) and 99214 (41 claims, $72 avg paid/claim) together account for only a small fraction of revenue ($7.1K and $3K respectively), suggesting office visits are not the primary revenue driver. Imaging use shows above-typical activity for foot radiography (73630: 255 claims, $20 avg paid/claim; ranks #1618 of 30788, 95th percentile), indicating procedural and diagnostic support for the wound-care/surgical focus rather than routine office management.

Competitive standing is mixed by code: for Q4197 the provider is a clear national leader (top 3 of 82), for Q4194 they sit in a strong but not extreme position (rank #10 of 69, 87th percentile; described as typical, unremarkable volume), and for 15275 they are again highly elevated (98th percentile). This suggests the practice is unusually concentrated and prominent for a narrow set of biologic/product codes, while remaining typical or modest on common evaluation-and-management codes.

The provider has long-tenured Medicare enrollment, with the NPI enumerated on 2007-07-16 (~19 years ago), which supports the view that these utilization patterns are established rather than newly emergent. Given the long tenure and concentrated revenue mix, analysts should view future revenue risk as tied to changes in reimbursement, product availability, or utilization policy specific to the high-revenue skin-substitute codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	6,670	$130	$874.3K
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	900	$810	$727.1K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	350	$120	$40.8K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	140	$100	$14.7K
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…	120	$60	$7.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	260	$20	$5.1K
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…	40	$70	$3K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	70	$20	$1.5K
99203	The 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…	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Carrie Frame — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4197	1	10	4,340	$130	$580.5K
Q4194	1	10	810	$810	$531.5K
15275	2	10	90	$110	$20.3K
15271	2	10	90	$120	$19.1K
99214	2,019	2,740	100	$70	$11.8K
99213	1,093	2,860	80	$50	$7.5K
99203	815	940	30	$60	$2.8K
73630	4	170	50	$10	$700
73610	13	130	40	$10	$380

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradley Hoffman	WV	Foot & Ankle Surgery Podiatrist	$4.9M	$0
Neurological Associates, Inc.	WV	Neurological Surgery Physician	$0	$795.4K
Charleston Surgical Hospital, LLC	WV	General Acute Care Hospital	$0	$793.5K
Alison Poole	WV	Physician Assistant	$584.9K	$0
Joseph Sinclair	WV	Ophthalmology Physician	$334K	$0
Stephen Cassis	WV	Ophthalmology Physician	$322.9K	$0
Katlin Lindsey	WV	Physician Assistant	$309.8K	$0
Mohamad Haffar	WV	Gastroenterology Physician	$274.4K	$0
Jeremy Stapleton	WV	Gastroenterology Physician	$183.1K	$0
Jeremy Cumberledge	WV	Gastroenterology Physician	$149.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Treatment Center, LLC	WV	Methadone Clinic	$234.5K	$16.8M
Associated Radiologists, Inc.	WV	Diagnostic Radiology Physician	$0	$8M
Charleston Treatment Center, LLC.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
West Virginia Health Right, Inc.	WV	Health Service Clinic/Center	$0	$2.7M
Charleston Treatment Center, LLC	WV	Methadone Clinic	$0	$2.6M
Ashley Patnoe	WV	Pediatric Dentistry	$0	$2.2M
Daymark Inc.	WV	Mental Illness Community Based Residential Treatment Facility	$0	$1.5M
Capital City Pediatrics PLLC	WV	Pediatrics Physician	$0	$762.4K
Greenbrier Vision Center Inc	WV	Optometrist	$0	$761.1K
Johnsey Leef	WV	Diagnostic Radiology Physician	$139.1K	$0

Carrie Frame — Billing Profile & Reimbursement Data

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Carrie Frame — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References