Physician
Franklin, Stephen
Franklin, Stephen was paid $343K by Medicaid between Dec 2022 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoFRANKLIN, STEPHEN
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1437511128assigned 03/22/2016
33bProvider typePediatric Pulmonology Physician
28Total paid$343K
24GClaims12,205
24DCodes billed30
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Tennessee
Rank by total paid#1 of 6
Median peer was paid$110K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2022 | 251 | $9K | |
| 2023 | 6,587 | $175K | |
| 2024incomplete | 5,367 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 2,579 | 2,295 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 578 | 530 | $42K |
| 87428 | 12% | 758 | 707 | $41K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,048 | 930 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 427 | 409 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 297 | 244 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 160 | 148 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 1,488 | 1,170 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 301 | 270 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 1,014 | 935 | $7K |
| 96127 | <1% | 657 | 474 | $3K | |
| 99177 | <1% | 389 | 357 | $1K |
18 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $972.24 |
| 96160 | <1% | 295 | $874.81 | |
| 92587 | <1% | 119 | $804.15 | |
| 87807 | <1% | 108 | $674.03 | |
| 83655 | <1% | 80 | $482.40 | |
| 90461 | <1% | 587 | $255.81 | |
| 90677 | <1% | 49 | $253.21 | |
| 90670 | <1% | 183 | $226.43 | |
| 96161 | <1% | 112 | $221.61 | |
| 85018 | <1% | 87 | $109.68 | |
| 90688 | <1% | 134 | $18.83 | |
| 36416 | <1% | 243 | $1.36 | |
| 90710 | 0% | 56 | $0.00 | |
| 90658 | 0% | 46 | $0.00 | |
| 90633 | 0% | 50 | $0.00 | |
| 90698 | 0% | 232 | $0.00 | |
| 90680 | 0% | 67 | $0.00 | |
| 90744 | 0% | 48 | $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.