Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FRANCIOSA, MARK

NPI: 1336315647 · BOSTON, MA 02118 · Internal Medicine Physician · NPI assigned 05/06/2008

$320K
Total Medicaid Paid
4,666
Total Claims
4,391
Beneficiaries
27
Codes Billed
2021-08
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,558 1,401 $288K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 474 453 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 399 360 $4K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 301 296 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 49 49 $2K
G0467 Federally 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 64 59 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 253 245 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 93 85 $2K
H0049 Alcohol and/or drug screening 221 217 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 103 100 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 152 150 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 89 89 $987.96
0071A 21 21 $963.48
0072A 18 18 $825.84
90686 115 114 $658.37
0004A 12 12 $544.68
96127 221 215 $305.26
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 113 110 $270.46
83036 Hemoglobin; glycosylated (A1C) 79 79 $265.32
82962 191 183 $88.14
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 36 34 $61.64
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $57.75
81002 12 12 $28.10
36416 12 12 $13.03
91307 40 37 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
91300 15 15 $0.00