Physician
Croke, Francis
Croke, Francis was paid $195K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoCROKE, FRANCIS
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1487733549assigned 11/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$195K
24GClaims9,854
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#144 of 1,270
Median peer was paid$8K
This provider vs. median23×
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 | 1,805 | $27K | |
| 2019 | 2,297 | $37K | |
| 2020 | 1,564 | $32K | |
| 2021 | 1,657 | $27K | |
| 2022 | 1,224 | $22K | |
| 2023 | 888 | $30K | |
| 2024incomplete | 419 | $21K |
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 | 63% | 2,739 | 2,619 | $123K |
| 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 | 28% | 1,363 | 1,344 | $54K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.9% | 3,859 | 3,190 | $14K |
| 90686 | 1.3% | 254 | 254 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 103 | 103 | $2K |
| 90662 | <1% | 14 | 14 | $121.96 | |
| 90756 | <1% | 40 | 40 | $72.70 | |
| G0008 | Administration of influenza virus vaccine | <1% | 190 | 189 | $57.48 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 112 | 112 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 29 | 29 | $0.00 |
| 1036F | 0% | 61 | 61 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 24 | 24 | $0.00 |
4 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 908 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 66 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | $0.00 |
| 4040F | 0% | 43 | $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.