Franciosa, Mark

Franciosa, Mark was paid $320K by Medicaid between Aug 2021 and May 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.

33Billing provider infoFRANCIOSA, MARK
BOSTON, MA 02118

33aNPI1336315647assigned 05/06/2008

33bProvider typeInternal Medicine Physician

28Total paid$320K

24GClaims4,666

24DCodes billed27

24AFirst – last monthAug 2021 – May 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#110 of 1,270

Median peer was paid$8K

This provider vs. median38×

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
2021	334	$31K
2022	824	$71K
2023	1,606	$103K
2024incomplete	1,902	$115K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	90%	1,558	1,401	$288K
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	2.3%	474	453	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	399	360	$4K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	301	296	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	49	49	$2K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	<1%	64	59	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	253	245	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	93	85	$2K
H0049	Alcohol and/or drug screening	<1%	221	217	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	103	100	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	152	150	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	89	89	$987.96

15 more codes

0071A		<1%	21	$963.48
0072A		<1%	18	$825.84
90686		<1%	115	$658.37
0004A		<1%	12	$544.68
96127		<1%	221	$305.26
99203	Doctor's office visit, new patient (routine)	<1%	113	$270.46
83036	Hemoglobin; glycosylated (A1C)	<1%	79	$265.32
82962		<1%	191	$88.14
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	36	$61.64
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	13	$57.75
81002		<1%	12	$28.10
36416		<1%	12	$13.03
91307		0%	40	$0.00
99204	Doctor's office visit, new patient (more involved)	0%	12	$0.00
91300		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.