Franco, Manuel

Franco, Manuel was paid $33K by Medicaid between Feb 2018 and Mar 2024, across 35 billing codes. Its largest line is G0270, Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes — 35% of everything it billed.

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#157 of 231

Median peer was paid$561K

This provider vs. median0.1×

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	240	$3K
2021	3,274	$23K
2022	271	$3K
2023	247	$3K
2024incomplete	51	$604.13

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	35%	419	414	$11K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	25%	285	285	$8K
92587		18%	282	282	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.9%	114	113	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.8%	118	118	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	3.6%	28	28	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	16	15	$996.15
90472	Immunization administration, each additional vaccine (list separately)	2.1%	35	35	$690.00
0001A		1.7%	13	13	$560.14
99177		<1%	230	230	$235.42
3074F		<1%	100	100	$72.50
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	99	99	$0.00

23 more codes

G9275	Documentation that patient is a current non-tobacco user	0%	99	$0.00
H0002	Behavioral health screening to determine eligibility for admission to treatment program	0%	99	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	275	$0.00
H0001	Alcohol and/or drug assessment	0%	99	$0.00
36415	Collection of venous blood by venipuncture	0%	220	$0.00
S9451	Exercise classes, non-physician provider, per session	0%	194	$0.00
97802		0%	203	$0.00
1036F		0%	99	$0.00
3008F		0%	17	$0.00
90686		0%	12	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	92	$0.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	127	$0.00
99173		0%	14	$0.00
83015		0%	119	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	91	$0.00
3725F		0%	99	$0.00
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	0%	101	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	80	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	77	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	99	$0.00
3016F		0%	99	$0.00
91300		0%	12	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	17	$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.