Physician

James Fredrick Frommer, D.O.

According to 2025 Medicare claims, James Frommer, D.O. (NPI: 1235137746) practices family practice in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is QUANTUM HEALTHCARE SERVICES LLC (NPI: 1649028796; TIN: 992135673) and primary practice location at 16635-8055. Frommer is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657) and Aledade 201 National MSSP (ACO ID: A5522), participating under the MSSP model.

Frommer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 111 traditional Medicare patients, billed 772 HCPCS/CPT codes, and received $64,735 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 3,360 prescription claims across 255 beneficiaries totaling $457,754 in drug costs, led by Eliquis (Apixaban). DME data shows 43 claims. Open Payments data shows 20 records totaling $308. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $568,877 and ending at $457,754. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $6,170 to $10,152.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	22	25	$186
2018	60	126	$882
2019	195	457	$21,216
2020	484	2,960	$185,579
2021	422	2,200	$163,243
2022	238	1,402	$131,016
2023	133	1,259	$114,660
2024	111	772	$64,735

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	206	9,282	$568,877
2016	63	1,142	$37,905
2017	45	128	$7,030
2018	247	2,574	$174,656
2019	398	6,872	$517,743
2020	461	4,544	$416,113
2021	324	4,414	$504,406
2022	363	5,004	$615,046
2023	276	4,537	$686,480
2024	255	3,360	$457,754

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	55	$4,854
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	64	$514
2019	31	140	$1,952
2020	15	88	$1,114
2021	N/R	95	$3,698
2022	N/R	86	$4,910
2023	N/R	150	$10,669
2024	N/R	43	$7,581

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	308	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	71	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	38	51	$63
99497	Advance care planning, first 30 minutes	41	43	$61
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 services that are part of ongoing care related to a patient's	38	44	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	77	4,950	$92,678
Jardiance	Empagliflozin	49	2,670	$44,784
Trulicity	Dulaglutide	29	1,092	$36,989
Xarelto	Rivaroxaban	26	1,920	$34,593
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	17	780	$15,577

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	26	$5,777
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	17	$1,804

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	20	$308	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for James Fredrick Frommer, D.O.?

Tedicare shows public-source Medicare data for James Fredrick Frommer, D.O. (NPI 1235137746), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Fredrick Frommer, D.O. have ACO affiliation data?

James Fredrick Frommer, D.O. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657) and Aledade 201 National MSSP (MSSP, ACO ID A5522).

What billing organization is linked to James Fredrick Frommer, D.O.?

James Fredrick Frommer, D.O. is linked to QUANTUM HEALTHCARE SERVICES LLC (billing NPI 1649028796) in the available physician profile data.

Does James Fredrick Frommer, D.O. have Open Payments data?

James Fredrick Frommer, D.O. has 20 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.