Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Franciscan Physician Network

Franciscan Physician Network was paid $105.95M by Medicaid between Jan 2018 and Dec 2024, across 373 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoFRANCISCAN PHYSICIAN NETWORK
INDIANAPOLIS, IN 46237
33aNPI1225327984assigned 04/04/2011
28Total paid$105.95M
24GClaims3,288,272
24DCodes billed373
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Indiana

Rank by total paid#3 of 316
Median peer was paid$17K
This provider vs. median6,263×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018522,978$7.74M
2019421,189$16.85M
2020336,291$12.61M
2021375,802$17.18M
2022382,953$17.91M
2023743,489$19.30M
2024incomplete505,570$14.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 698,633 542,178 $39.47M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 509,203 414,731 $23.64M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 43,496 35,445 $3.65M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.9% 34,779 31,732 $3.07M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 37,567 27,426 $2.61M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 31,525 27,334 $2.27M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 89,533 28,118 $2.26M
59425 2.1% 34,831 25,223 $2.18M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.9% 57,779 19,630 $2.03M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.9% 56,342 35,248 $2.00M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 136,219 120,138 $1.61M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 17,100 15,538 $1.49M
361 more codes
99203 Doctor's office visit, new patient (routine) 1.3% 29,075 $1.37M
59426 1.1% 18,739 $1.22M
90472 Immunization administration, each additional vaccine (list separately) 1.1% 72,806 $1.20M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 41,537 $1.13M
99223 Prolong inpt eval add15 m <1% 13,641 $925K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 10,698 $915K
90837 Psychotherapy session, about an hour <1% 12,738 $748K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 195,365 $699K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 10,075 $644K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 24,386 $638K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,628 $580K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 5,787 $544K
99239 Hospital discharge day management, more than 30 minutes <1% 11,647 $461K
90792 Psychiatric diagnostic evaluation with medical services <1% 5,036 $408K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 7,647 $357K
99205 Prolong outpt/office vis <1% 5,751 $348K
90791 Psychiatric diagnostic evaluation <1% 5,071 $324K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 12,121 $293K
76820 <1% 8,608 $285K
99285 Emergency room visit (most serious) <1% 4,966 $274K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 358 $258K
90847 Family psychotherapy with the patient present, 50 minutes <1% 4,242 $224K
99284 Emergency room visit (serious) <1% 5,030 $221K
99238 Hospital discharge day management, 30 minutes or less <1% 5,319 $214K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,112 $213K
20610 <1% 7,807 $207K
99283 Emergency room visit (moderate) <1% 8,432 $206K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,414 $196K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 4,693 $193K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 12,587 $192K
99222 Initial hospital care, per day, moderate complexity <1% 4,897 $180K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12,830 $179K
J0588 Injection, incobotulinumtoxin a, 1 unit <1% 335 $151K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,487 $144K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 5,200 $144K
90832 Psychotherapy session, about 30 minutes <1% 4,050 $137K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 4,386 $133K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 10,268 $132K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 5,861 $121K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,650 $110K
90474 <1% 8,214 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,761 $100K
99221 <1% 2,454 $99K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,679 $90K
95806 <1% 2,599 $86K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,811 $85K
83036 Hemoglobin; glycosylated (A1C) <1% 16,434 $82K
99220 <1% 1,864 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,240 $74K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 945 $71K
90686 <1% 34,304 $68K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 911 $58K
94010 <1% 5,688 $55K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 640 $53K
59430 <1% 1,437 $53K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 829 $44K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,656 $42K
90682 <1% 1,247 $41K
59025 Fetal non-stress test <1% 3,003 $41K
99308 Subsequent nursing facility care, per day, straightforward <1% 9,773 $40K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,572 $39K
93000 <1% 6,706 $37K
92015 Determination of refractive state <1% 3,908 $34K
76819 Fetal biophysical profile; without non-stress testing <1% 711 $30K
94729 <1% 4,866 $29K
93295 <1% 1,722 $29K
94726 <1% 4,187 $27K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 8,180 $27K
11721 <1% 2,675 $27K
31575 <1% 411 $25K
94060 <1% 3,554 $24K
99152 <1% 3,315 $23K
71046 Radiologic examination, chest; 2 views <1% 2,651 $23K
73630 <1% 1,988 $22K
90670 <1% 15,961 $22K
17110 <1% 682 $22K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 153 $22K
36416 <1% 10,179 $20K
73564 <1% 1,372 $20K
91320 <1% 285 $19K
90716 <1% 429 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 338 $19K
99460 <1% 282 $17K
99385 <1% 948 $17K
93016 <1% 2,436 $17K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 915 $17K
73610 <1% 1,347 $17K
95886 <1% 373 $16K
99406 <1% 2,649 $15K
36415 Collection of venous blood by venipuncture <1% 8,668 $15K
93294 <1% 2,349 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,365 $15K
90651 <1% 1,852 $14K
90480 <1% 870 $14K
46600 <1% 303 $13K
99443 <1% 837 $13K
99442 <1% 1,264 $13K
99173 <1% 7,208 $13K
92557 <1% 896 $13K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 746 $12K
73030 <1% 1,403 $12K
93018 <1% 2,616 $12K
69210 <1% 818 $12K
73562 <1% 2,356 $11K
90715 <1% 2,732 $11K
59514 <1% 410 $11K
90961 <1% 949 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 366 $11K
98968 <1% 2,116 $11K
90732 <1% 742 $10K
87807 <1% 1,063 $10K
99307 <1% 3,459 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 44 $10K
0001A <1% 556 $9K
80305 <1% 962 $9K
96127 <1% 2,634 $9K
0071A <1% 450 $9K
0003A <1% 397 $9K
92567 <1% 1,530 $8K
73110 <1% 723 $8K
93458 <1% 226 $8K
81002 <1% 6,715 $8K
0124A <1% 340 $7K
0072A <1% 205 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 45 $7K
99201 <1% 527 $7K
90707 <1% 422 $7K
95251 <1% 348 $7K
97803 <1% 481 $7K
90698 <1% 12,713 $7K
99219 <1% 811 $7K
82962 <1% 5,570 $7K
76942 <1% 458 $7K
62321 <1% 94 $7K
90836 <1% 135 $6K
81003 <1% 6,291 $6K
11043 <1% 128 $6K
99383 <1% 141 $6K
93356 <1% 670 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,042 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,293 $6K
81025 <1% 2,404 $5K
83655 <1% 428 $5K
90656 <1% 1,749 $5K
97802 <1% 97 $5K
93454 <1% 42 $5K
96156 <1% 123 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 667 $5K
93299 <1% 127 $4K
99386 <1% 542 $4K
99292 <1% 57 $4K
98929 <1% 69 $4K
99217 <1% 1,086 $4K
64644 <1% 142 $4K
90680 <1% 8,497 $4K
99417 Prolong home eval add 15m <1% 172 $4K
20611 <1% 102 $4K
73130 <1% 528 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 119 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 915 $4K
77067 Screening mammography, bilateral, including computer-aided detection <1% 50 $4K
95117 <1% 510 $4K
62323 <1% 76 $4K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 61 $4K
20550 <1% 374 $3K
3044F <1% 12,456 $3K
87430 <1% 448 $3K
95811 <1% 182 $3K
99305 <1% 301 $3K
99401 <1% 292 $3K
97162 <1% 212 $3K
99382 <1% 49 $3K
V5266 Battery for use in hearing device <1% 631 $3K
90671 <1% 4,911 $3K
87081 <1% 424 $3K
93227 <1% 562 $3K
11104 <1% 33 $3K
90739 <1% 21 $3K
93296 <1% 378 $2K
99407 <1% 327 $2K
0002A <1% 120 $2K
73560 <1% 394 $2K
85018 <1% 961 $2K
47562 <1% 246 $2K
0154A <1% 57 $2K
90620 <1% 305 $2K
87400 <1% 448 $2K
91322 <1% 39 $2K
99441 <1% 279 $2K
92083 <1% 95 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 681 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 128 $2K
90473 <1% 170 $2K
43775 <1% 22 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 245 $2K
74018 <1% 147 $2K
94375 <1% 336 $2K
91321 <1% 25 $2K
96133 <1% 18 $2K
99381 <1% 103 $2K
54150 <1% 27 $2K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth <1% 311 $2K
64493 <1% 12 $1K
90734 <1% 1,689 $1K
99225 <1% 764 $1K
99459 <1% 110 $1K
0081A <1% 63 $1K
99226 <1% 399 $1K
93272 <1% 146 $1K
96132 <1% 17 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 579 $1K
90935 Hemodialysis procedure with single evaluation by a physician <1% 120 $1K
0004A <1% 47 $1K
91319 <1% 14 $1K
0173A <1% 30 $1K
90713 <1% 63 $1K
96116 <1% 38 $1K
90846 Family psychotherapy without the patient present, 50 minutes <1% 12 $977.52
99354 <1% 90 $958.64
90632 <1% 109 $926.67
99497 <1% 461 $911.38
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth <1% 200 $906.77
92551 <1% 115 $904.58
96161 <1% 569 $892.46
58571 <1% 101 $852.80
72100 <1% 146 $810.14
29075 <1% 45 $793.76
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 119 $792.82
91318 <1% 13 $784.81
77063 Screening digital breast tomosynthesis, bilateral <1% 37 $753.43
98927 <1% 13 $664.04
92587 <1% 62 $661.43
97161 <1% 145 $659.03
90744 <1% 2,783 $632.00
73140 <1% 163 $611.10
51798 <1% 131 $605.63
80061 Lipid panel <1% 69 $570.50
90633 <1% 4,691 $560.79
95012 <1% 136 $553.20
99304 <1% 22 $544.78
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,003 $519.02
0053A <1% 14 $516.60
90673 <1% 65 $496.11
58100 <1% 149 $494.14
76821 <1% 47 $472.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 93 $430.82
93298 <1% 53 $425.31
90746 <1% 206 $413.88
73502 <1% 339 $375.69
72050 <1% 33 $373.25
95816 <1% 18 $310.98
J1010 Injection, methylprednisolone acetate, 1 mg <1% 51 $295.82
73070 <1% 89 $292.13
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 22 $282.72
99218 <1% 202 $280.41
72110 <1% 153 $279.54
99384 <1% 16 $276.61
98967 <1% 77 $270.18
90962 <1% 21 $267.70
76937 <1% 32 $263.37
3046F <1% 85 $260.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 76 $245.08
90685 <1% 1,016 $233.92
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 271 $225.65
93880 <1% 18 $215.63
93325 <1% 548 $203.82
96381 <1% 13 $203.25
99310 Prolong nursin fac eval 15m <1% 53 $194.98
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,070 $188.73
76830 Ultrasound, transvaginal <1% 152 $171.10
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified <1% 29 $146.50
99318 <1% 16 $138.78
93320 <1% 284 $134.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 697 $128.13
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 340 $123.02
93923 <1% 18 $112.29
11100 <1% 270 $110.91
20605 <1% 147 $109.21
90688 <1% 455 $104.84
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) <1% 1,264 $102.96
92283 <1% 12 $100.90
94664 <1% 22 $97.46
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 13 $94.25
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 884 $65.02
99174 <1% 15 $56.32
90672 <1% 179 $55.44
97035 <1% 192 $51.96
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 100 $35.97
72040 <1% 15 $34.02
73600 <1% 15 $28.56
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass <1% 17 $24.22
3074F <1% 130,782 $15.00
86580 <1% 199 $12.48
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 218 $12.26
A7015 Aerosol mask, used with dme nebulizer <1% 98 $11.86
93321 <1% 74 $10.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 301 $9.98
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 68 $5.67
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 87 $4.81
3060F 0% 1,973 $0.00
3008F 0% 265,901 $0.00
1111F 0% 8,197 $0.00
3079F 0% 30,211 $0.00
3075F 0% 6,414 $0.00
90619 0% 419 $0.00
4010F 0% 12,469 $0.00
G0008 Administration of influenza virus vaccine 0% 453 $0.00
90677 0% 447 $0.00
90697 0% 2,089 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 104 $0.00
3351F 0% 1,177 $0.00
1125F 0% 65 $0.00
3352F 0% 125 $0.00
3353F 0% 268 $0.00
57454 0% 83 $0.00
90696 0% 235 $0.00
99462 0% 21 $0.00
3080F 0% 134 $0.00
90381 0% 33 $0.00
81001 0% 112 $0.00
3048F 0% 143 $0.00
76801 0% 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 78 $0.00
90660 0% 24 $0.00
99235 0% 19 $0.00
64721 0% 30 $0.00
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 0% 12 $0.00
17000 0% 17 $0.00
95911 0% 16 $0.00
11730 0% 16 $0.00
97597 0% 18 $0.00
11200 0% 15 $0.00
11900 0% 15 $0.00
3078F 0% 99,376 $0.00
90710 0% 693 $0.00
93350 0% 215 $0.00
3077F 0% 1,144 $0.00
1160F 0% 31 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 33 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 143 $0.00
90700 0% 50 $0.00
27096 0% 32 $0.00
93312 0% 83 $0.00
20552 0% 15 $0.00
90648 0% 47 $0.00
99490 Ccm add 20min 0% 37 $0.00
73565 0% 53 $0.00
87210 0% 176 $0.00
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 0% 61 $0.00
96101 0% 32 $0.00
3051F 0% 13 $0.00
90681 0% 14 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 65 $0.00
10060 0% 61 $0.00
1159F 0% 48 $0.00
93308 0% 31 $0.00
82274 0% 64 $0.00
11057 0% 15 $0.00
17003 0% 12 $0.00
27447 0% 18 $0.00
73590 0% 15 $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 officialPHALEN, DONNA (DIRECTOR)
Same official

Other billing entities under PHALEN, DONNA

Full network →
ProviderLocationPaid
Franciscan Physician NetworkMishawaka, IN$16.17M
Franciscan Health Indianapolis & MooresvilleIndianapolis, IN$6.79M
Indiana Blood and Marrow Transplantation LLCIndianapolis, IN$55K
GLHS Anesthesia GroupLafayette, IN$26K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.