Physician
Franz Moncada MD INC
Franz Moncada MD INC was paid $2.09M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoFRANZ MONCADA MD INC
TULSA, OK 74136
TULSA, OK 74136
33aNPI1033272281assigned 12/19/2006
33bProvider typePediatrics Physician
28Total paid$2.09M
24GClaims47,330
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#7 of 94
Median peer was paid$204K
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,747 | $395K | |
| 2019 | 4,875 | $286K | |
| 2020 | 5,889 | $221K | |
| 2021 | 8,450 | $313K | |
| 2022 | 8,722 | $346K | |
| 2023 | 7,300 | $298K | |
| 2024incomplete | 5,347 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 6,037 | 5,703 | $444K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 3,122 | 3,122 | $289K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 7,362 | 7,291 | $286K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 3,114 | 3,000 | $268K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 2,717 | 2,632 | $267K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 2,208 | 2,208 | $204K |
| 92587 | 3.1% | 3,262 | 3,257 | $64K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 1,954 | 1,905 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 517 | 517 | $52K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 2,258 | 2,209 | $32K |
| 99460 | 1.3% | 340 | 340 | $28K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 334 | 334 | $20K |
36 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 478 | $18K |
| 96127 | <1% | 2,280 | $9K | |
| 96161 | <1% | 1,281 | $6K | |
| 54150 | <1% | 72 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 656 | $5K |
| 0072A | <1% | 125 | $5K | |
| 0071A | <1% | 121 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 130 | $5K |
| 90480 | <1% | 103 | $4K | |
| 99173 | <1% | 1,575 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 99462 | <1% | 57 | $2K | |
| 0082A | <1% | 37 | $1K | |
| 0081A | <1% | 31 | $1K | |
| 87807 | <1% | 101 | $1K | |
| 87430 | <1% | 74 | $1K | |
| 96380 | <1% | 30 | $466.34 | |
| 90656 | <1% | 160 | $16.00 | |
| 90686 | <1% | 1,673 | $3.00 | |
| 90651 | <1% | 116 | $1.00 | |
| 90734 | 0% | 51 | $0.00 | |
| 91308 | 0% | 92 | $0.00 | |
| 90670 | 0% | 966 | $0.00 | |
| 90633 | 0% | 334 | $0.00 | |
| 90707 | 0% | 408 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90380 | 0% | 17 | $0.00 | |
| 90680 | 0% | 698 | $0.00 | |
| 90723 | 0% | 741 | $0.00 | |
| 90716 | 0% | 420 | $0.00 | |
| 90647 | 0% | 753 | $0.00 | |
| 90677 | 0% | 122 | $0.00 | |
| 91318 | 0% | 17 | $0.00 | |
| 91307 | 0% | 253 | $0.00 | |
| 90696 | 0% | 66 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONCADA, FRANZ (DOCTOR)