Physician

Michele B Frank, MD

According to 2025 Medicare claims, Michele Frank, MD (NPI: 1285680405) practices hematology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is VALLEY PHYSICIAN SERVICES PC (NPI: 1467815928; TIN: 465285330) and primary practice location at 07652-3627. Frank is affiliated with the ColigoCare, LLC (ACO ID: A3591), participating under the MSSP model.

Frank's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 534 traditional Medicare patients, billed 4,214 HCPCS/CPT codes, and received $132,038 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 563 prescription claims across 123 beneficiaries totaling $1,387,573 in drug costs, led by Revlimid (Lenalidomide). 2018 DME data shows 14 claims. Open Payments data shows 1 records totaling $135. 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 has moved sharply higher in recent years, from $41,599 to $132,038. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $432,062 and ending at $1,387,573. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$66K$132K2015 Medicare payment: $41,599 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $44,079 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $44,303 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $46,219 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $41,510 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $35,548 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $49,906 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $126,737 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $106,338 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $132,038 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015238767$41,599
2016246811$44,079
2017280764$44,303
2018257771$46,219
2019251649$41,510
2020250585$35,548
20212922,619$49,906
20224468,687$126,737
20234694,266$106,338
20245344,214$132,038

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$694K$1.4M2015 Drug cost: $432,062 (USD; Tot_Drug_Cst)2016 Drug cost: $924,040 (USD; Tot_Drug_Cst)2017 Drug cost: $1,232,816 (USD; Tot_Drug_Cst)2018 Drug cost: $1,025,514 (USD; Tot_Drug_Cst)2019 Drug cost: $863,888 (USD; Tot_Drug_Cst)2020 Drug cost: $1,024,273 (USD; Tot_Drug_Cst)2021 Drug cost: $820,264 (USD; Tot_Drug_Cst)2022 Drug cost: $567,763 (USD; Tot_Drug_Cst)2023 Drug cost: $1,071,234 (USD; Tot_Drug_Cst)2024 Drug cost: $1,387,573 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201562363$432,062
201670409$924,040
201773408$1,232,816
201880513$1,025,514
201979437$863,888
202079489$1,024,273
202180359$820,264
202275328$567,763
202398469$1,071,234
2024123563$1,387,573

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$169$3392017 Medicare payment: $339 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $263 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R18$339
2018N/R14$263
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more164272$107
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more6868$99
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more237320$77
G2211Visit 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's199343$15
36415Insertion of needle into vein for collection of blood sample344694$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RevlimidLenalidomide14392$221,231
CalquenceAcalabrutinib Maleate11330$169,661
SprycelDasatinib12360$118,090
PromactaEltrombopag Olamine13390$108,686
XareltoRivaroxaban664,440$78,597

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$135Blueprint Medicines Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michele B. Frank, MD?

Tedicare shows public-source Medicare data for Michele B. Frank, MD (NPI 1285680405), 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 Michele B. Frank, MD have ACO affiliation data?

Michele B. Frank, MD is shown with ACO affiliation data for ColigoCare, LLC (MSSP, ACO ID A3591).

What billing organization is linked to Michele B. Frank, MD?

Michele B. Frank, MD is linked to VALLEY PHYSICIAN SERVICES PC (billing NPI 1467815928) in the available physician profile data.

Does Michele B. Frank, MD have Open Payments data?

Michele B. Frank, MD has 1 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.