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

Franklin, John

Franklin, John was paid $282K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoFRANKLIN, JOHN
LEXINGTON, KY 40508
33aNPI1629193933assigned 03/20/2007
28Total paid$282K
24GClaims7,693
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018215$14K
2020535$21K
20211,462$49K
20221,999$84K
20232,079$68K
2024incomplete1,403$46K
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 33% 1,792 1,588 $93K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,366 1,247 $48K
99244 Office or other outpatient consultation, moderate to high complexity 15% 377 360 $41K
67311 9.0% 54 49 $25K
92060 7.7% 1,009 951 $22K
99243 5.1% 175 165 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.2% 153 132 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.6% 80 74 $7K
92015 Determination of refractive state 2.2% 2,102 1,893 $6K
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 1.8% 57 47 $5K
92201 1.5% 184 126 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.5% 68 63 $4K
5 more codes
92285 <1% 102 $1K
99232 Hospital visit by a doctor, follow-up day <1% 20 $844.80
99024 0% 123 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 0% 13 $0.00
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) 0% 18 $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.