Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JOHNSON CITY › STATE OF FRANKLIN HEALTHCARE ASSOCIATES PLLC

STATE OF FRANKLIN HEALTHCARE ASSOCIATES PLLC

NPI: 1063459410 · JOHNSON CITY, TN 37601 · Family Medicine Physician · NPI assigned 06/01/2006

$23.19M
Total Medicaid Paid
921,567
Total Claims
740,458
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLEAR, AMANDA (DIRECTOR OF QUALITY)
NPI Enumeration Date06/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79,293 $1.48M
2019 92,639 $1.77M
2020 104,080 $2.32M
2021 142,076 $3.90M
2022 163,463 $4.55M
2023 178,631 $4.87M
2024 161,385 $4.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127,333 106,997 $5.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 122,233 105,976 $4.75M
90460 Immunization administration through 18 years of age via any route, first or only component 37,732 33,701 $1.78M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19,245 17,737 $1.32M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,579 18,275 $1.27M
96110 Developmental screening, with scoring and documentation, per standardized instrument 36,117 33,356 $1.02M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 22,313 20,205 $751K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16,135 14,924 $739K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,834 8,876 $652K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 11,925 9,935 $646K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19,916 14,325 $355K
96160 20,145 11,773 $344K
99233 Prolong inpt eval add15 m 15,414 6,462 $315K
59025 Fetal non-stress test 8,667 6,452 $245K
99232 Subsequent hospital care, per day, moderate complexity 16,266 6,943 $214K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,477 2,112 $177K
96161 12,431 10,184 $173K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,672 1,455 $146K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,219 3,717 $135K
92552 7,798 7,123 $134K
99223 Prolong inpt eval add15 m 3,069 2,732 $134K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,640 1,237 $112K
76819 Fetal biophysical profile; without non-stress testing 1,607 1,263 $100K
0503F 2,970 2,134 $97K
99308 Subsequent nursing facility care, per day, straightforward 15,660 7,207 $94K
99239 Hospital discharge day management, more than 30 minutes 4,082 3,592 $93K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,752 13,984 $90K
77067 Screening mammography, bilateral, including computer-aided detection 1,818 1,621 $85K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 990 835 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,781 2,298 $71K
36415 Collection of venous blood by venipuncture 42,895 37,384 $67K
96127 13,537 8,540 $61K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,913 778 $60K
71046 Radiologic examination, chest; 2 views 4,317 3,700 $53K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 37 37 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 863 765 $50K
76801 669 575 $48K
81025 8,238 6,920 $48K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,871 3,874 $46K
99215 Prolong outpt/office vis 460 418 $42K
76641 575 487 $37K
77063 Screening digital breast tomosynthesis, bilateral 1,859 1,634 $36K
76830 Ultrasound, transvaginal 468 424 $35K
87807 2,854 2,638 $32K
99220 497 446 $32K
95911 255 197 $29K
95886 714 300 $27K
80081 371 329 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,283 2,107 $26K
99177 3,545 3,349 $26K
0500F 2,327 1,943 $24K
80061 Lipid panel 4,414 3,669 $22K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 340 291 $21K
90677 1,663 1,548 $21K
80053 Comprehensive metabolic panel 7,559 6,594 $20K
87634 330 273 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 345 291 $19K
99173 3,358 3,075 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited 460 392 $18K
99385 187 155 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 112 94 $15K
99349 866 581 $14K
90670 8,019 7,100 $13K
90686 9,827 8,997 $13K
74018 803 734 $12K
62323 185 151 $12K
99307 2,818 2,058 $12K
85018 4,251 3,799 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,227 819 $11K
80050 General health panel 662 593 $10K
83655 797 712 $10K
99383 129 99 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 501 267 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,005 846 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 76 74 $9K
72100 538 448 $7K
3008F 10,031 8,438 $7K
85014 2,641 2,391 $7K
73630 578 470 $7K
84443 Thyroid stimulating hormone (TSH) 821 692 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 214 168 $7K
76536 184 159 $6K
59426 13 13 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 293 273 $6K
99459 361 325 $5K
90723 3,518 3,094 $5K
0502F 80,895 67,205 $5K
99219 78 78 $5K
36416 2,436 2,193 $5K
59430 1,436 1,048 $5K
76642 112 98 $5K
90651 332 297 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,478 1,144 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 121 97 $5K
80305 413 388 $4K
86803 371 329 $4K
99222 Initial hospital care, per day, moderate complexity 70 65 $4K
87581 109 101 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 12 $4K
83036 Hemoglobin; glycosylated (A1C) 1,584 1,315 $4K
99238 Hospital discharge day management, 30 minutes or less 124 103 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,570 1,132 $4K
A9585 Injection, gadobutrol, 0.1 ml 219 175 $3K
90647 1,956 1,771 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 32 24 $3K
77066 Tomosynthesis, mammo 39 29 $3K
90674 370 331 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 175 110 $3K
90697 686 600 $3K
71250 50 40 $3K
77080 197 190 $3K
86140 2,327 2,026 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 265 219 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 34 33 $3K
90681 966 853 $2K
73030 258 195 $2K
95806 53 50 $2K
99460 44 39 $2K
82950 416 384 $2K
74178 14 13 $2K
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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 519 365 $2K
72141 20 12 $2K
90633 1,479 1,335 $2K
84439 404 335 $2K
98960 145 44 $2K
85027 1,209 1,034 $2K
85652 2,083 1,829 $2K
73610 111 93 $2K
90715 59 54 $2K
99406 309 237 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18 13 $2K
0001A 47 40 $1K
87210 303 267 $1K
98966 56 16 $1K
99382 14 12 $1K
76818 22 12 $1K
90680 1,468 1,262 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 160 127 $882.83
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 42 26 $813.34
99217 32 25 $796.03
81002 338 296 $778.28
84702 52 32 $693.90
99305 110 95 $656.52
90656 767 675 $641.81
90716 336 306 $585.23
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 28 28 $552.55
99441 35 28 $525.41
71045 Radiologic examination, chest; single view 41 35 $485.67
99490 Ccm add 20min 606 571 $478.78
90734 143 114 $452.32
81001 242 219 $431.33
0002A 14 13 $391.06
11721 79 48 $379.26
81003 217 196 $357.30
84460 408 357 $309.07
90619 15 15 $300.93
72072 16 13 $283.78
99316 28 26 $281.60
D1206 Topical application of fluoride varnish 14 14 $273.00
90661 227 184 $265.68
90698 1,181 1,036 $260.34
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,582 1,121 $258.50
90700 117 107 $253.50
90707 302 269 $239.92
73502 19 12 $237.78
94726 14 12 $235.92
90648 2,600 2,317 $234.39
90461 80 72 $232.81
99442 18 12 $221.70
94729 14 12 $218.67
73130 15 12 $205.25
1160F 1,165 1,011 $190.00
83550 42 38 $184.67
82565 233 207 $176.73
73120 18 12 $174.62
83540 59 52 $171.32
1159F 1,164 1,010 $170.00
D0190 14 14 $168.00
82607 51 37 $157.50
92558 55 32 $156.47
82570 89 78 $150.06
72040 16 12 $144.13
84450 169 153 $135.53
73562 13 12 $130.38
G0008 Administration of influenza virus vaccine 265 218 $122.84
0501F 537 370 $110.00
82043 90 79 $101.44
99348 27 13 $63.35
99497 21 16 $60.48
80047 14 13 $54.11
84156 18 15 $51.26
82728 18 17 $33.86
3074F 450 387 $20.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 19 13 $12.45
J1050 Injection, medroxyprogesterone acetate, 1 mg 71 70 $4.21
99499 45,849 19,790 $0.00
3078F 439 378 $0.00
90685 122 120 $0.00
99053 357 318 $0.00
91300 95 85 $0.00
3288F 14 14 $0.00
90682 12 12 $0.00
90687 38 32 $0.00
90662 19 14 $0.00
3292F 2,519 2,416 $0.00
3294F 180 169 $0.00
90744 409 369 $0.00
3079F 175 156 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 581 453 $0.00
3075F 124 111 $0.00
99024 31 30 $0.00
90688 44 44 $0.00
1111F 21 12 $0.00
3048F 13 13 $0.00