Active NPI 1801224605 Individual Practitioner Male Practitioner

Alex W Frantz , PA

Physician Assistant • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alex Frantz, PA is a certified Physician Assistant practicing in Bloomington, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Alex Frantz delivers high-quality medical care to the local community at 1111 TRINITY LN.

Alex Frantz maintains professional affiliations with Carle Health Care Incorporated, Carle West Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln
Suite 111

Bloomington, IL 617048111

Telephone 3096636461

Fax 3096635711

Associated Practice Facility / Clinic

🏢 Bloomington Medical Distribution Llc Facility NPI 1669918009

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +1.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

38 Specialists

Practicing in Bloomington, IL (4958 Statewide)

Telehealth Adoption Rate

7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frantz (13 Years) 13 Yrs

Bloomington Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	36,960	55	$11.50	$0.53
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	5,820	62	$87.85	$6.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,084	162	$12.98	$0.97
20610 Aspiration and/or injection of fluid from large joint	420	226	$466.71	$60.41
99213 Established patient office or other outpatient visit, typically 15 minutes	337	232	$215.00	$73.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	94	$140.00	$44.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$315.00	$88.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$320.00	$100.10
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$220.00	$58.49
20550 Injection into tendon or ligament	23	20	$392.17	$28.73
27447 Replacement of knee joint, both sides of knee	22	22	$7626.82	$176.11
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	13	$680.56	$91.70
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$7475.00	$172.79
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$7640.00	$193.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,464	23	$10.67	$0.74
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	5,700	52	$81.60	$6.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,336	190	$12.51	$1.08
J2795 Injection, ropivacaine hydrochloride, 1 mg	1,132	102	$6.24	$0.07
20610 Aspiration and/or injection of fluid from large joint	432	222	$398.85	$58.75
99213 Established patient office or other outpatient visit, typically 15 minutes	297	190	$205.00	$73.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	111	$305.00	$103.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$300.00	$92.06
20550 Injection into tendon or ligament	58	49	$293.97	$29.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$130.00	$45.49
27447 Replacement of knee joint, both sides of knee	27	27	$6893.24	$173.07
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	14	$490.83	$84.21
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6840.00	$173.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$455.00	$129.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	22,848	31	$8.96	$2.80
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	4,920	51	$64.58	$13.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,255	204	$11.16	$1.14
J2795 Injection, ropivacaine hydrochloride, 1 mg	522	55	$0.87	$0.09
20610 Aspiration and/or injection of fluid from large joint	415	224	$392.33	$59.95
99213 Established patient office or other outpatient visit, typically 15 minutes	257	195	$205.34	$74.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	156	$320.47	$105.20
20550 Injection into tendon or ligament	84	58	$334.90	$29.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	51	$132.78	$46.41
73030 X-ray of shoulder, minimum of 2 views	46	43	$44.70	$9.86
73564 X-ray of knee, 4 or more views	44	40	$41.36	$10.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$292.44	$91.29
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	19	$469.33	$83.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$431.13	$138.70
27447 Replacement of knee joint, both sides of knee	20	20	$7011.13	$174.25
73502 X-ray of hip, 2-3 views	16	16	$35.00	$9.23
73562 X-ray of knee, 3 views	15	13	$32.87	$8.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	21,184	37	$4.00	$2.12
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	4,920	54	$35.00	$17.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,487	189	$6.25	$1.27
20610 Aspiration and/or injection of fluid from large joint	346	220	$421.65	$60.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	214	$365.29	$107.75
73564 X-ray of knee, 4 or more views	166	143	$55.51	$12.67
73030 X-ray of shoulder, minimum of 2 views	154	129	$39.34	$9.99
99213 Established patient office or other outpatient visit, typically 15 minutes	102	93	$256.29	$75.87
20550 Injection into tendon or ligament	89	77	$354.62	$26.56
73562 X-ray of knee, 3 views	65	55	$35.08	$8.71
73502 X-ray of hip, 2-3 views	51	47	$46.57	$10.42
27447 Replacement of knee joint, both sides of knee	33	33	$7289.76	$178.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$159.15	$46.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$330.89	$88.45
73221 Mri scan of arm joint without contrast	18	18	$1351.00	$168.47
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$8403.47	$177.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$437.47	$140.36
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$3695.00	$41.59
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$3555.00	$24.12
73721 Mri scan of leg joint without contrast	12	12	$1374.00	$169.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,460	26	$35.00	$17.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,680	132	$6.25	$1.46
20610 Aspiration and/or injection of fluid from large joint	176	138	$407.16	$56.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	142	$558.00	$90.57
73030 X-ray of shoulder, minimum of 2 views	115	103	$36.57	$10.21
73564 X-ray of knee, 4 or more views	85	80	$42.82	$11.77
20550 Injection into tendon or ligament	66	60	$354.38	$27.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$551.00	$89.81
73502 X-ray of hip, 2-3 views	24	22	$47.29	$10.74
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$373.00	$62.43
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$6478.00	$202.63
73610 X-ray of ankle, minimum of 3 views	14	11	$26.00	$7.54
73562 X-ray of knee, 3 views	14	12	$29.00	$8.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,593	164	$6.25	$1.60
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,296	21	$19.11	$11.29
20610 Aspiration and/or injection of fluid from large joint	235	154	$414.50	$55.33
73030 X-ray of shoulder, minimum of 2 views	99	78	$42.12	$8.56
20550 Injection into tendon or ligament	99	75	$346.57	$24.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	81	$470.70	$90.11
99213 Established patient office or other outpatient visit, typically 15 minutes	84	76	$180.50	$61.53
73564 X-ray of knee, 4 or more views	70	61	$55.46	$10.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	63	$100.00	$37.08
23472 Prosthetic repair of shoulder joint, total shoulder	39	36	$10068.77	$202.18
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	19	$489.24	$83.16
73502 X-ray of hip, 2-3 views	14	13	$36.93	$9.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$476.92	$90.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	9,408	19	$2.80	$1.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,343	137	$6.25	$1.76
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,680	24	$17.25	$11.72
20610 Aspiration and/or injection of fluid from large joint	265	134	$414.69	$53.45
20550 Injection into tendon or ligament	97	64	$325.21	$23.70
99213 Established patient office or other outpatient visit, typically 15 minutes	88	73	$140.64	$60.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	71	$214.85	$88.01
73030 X-ray of shoulder, minimum of 2 views	54	42	$57.07	$8.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	43	$100.00	$35.47
73564 X-ray of knee, 4 or more views	41	30	$68.49	$9.94
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$14258.00	$200.51
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	17	$415.26	$77.44
27447 Replacement of knee joint, both sides of knee	15	14	$11802.67	$193.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	548	47	$6.25	$1.81
20610 Aspiration and/or injection of fluid from large joint	58	48	$435.03	$55.86
J1030 Injection, methylprednisolone acetate, 40 mg	40	21	$9.50	$6.15
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$134.00	$57.46
20550 Injection into tendon or ligament	29	28	$316.55	$24.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$195.00	$87.96
23472 Prosthetic repair of shoulder joint, total shoulder	20	19	$14258.00	$199.88

Medical Specialties & State Licenses

CMS Verified: 2021-10-06

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085004844

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License

085.004844 (IL)

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Physical Therapist

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Physical Therapist

Nicholas Von Holten , PA-C

Physician Assistant

NPI 1063054278

Physician Assistant (Certified)

Dr. Elizabeth Plocher , MD

Orthopaedic Surgery - Hand Surgery

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Doctor of Medicine (M.D.)

Abby Curtis , PT, MS, CLT

Physical Therapist

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Physical Therapist, Master of Science, Certified Lymphedema Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address October 27, 2021

Registered at 611 W. PARK ST, FAPC, URBANA, IL 61801

✅

NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2017

Registered at 1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 617048111 (Tel: 3096636461)

📍

Updated Business Mailing Address January 04, 2017

Registered at 1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 617048111 (Tel: 3096636461)

👤

Provider Name / Credentials Updated January 04, 2017

Recorded as ALEX FRANTZ, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Physician Assistant (License #085004844 in IL)

🟢

Initial NPI Registration & Enumeration October 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801224605

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2013

Last Update: October 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St, Fapc

Urbana, IL 61801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.