Medicaid Provider Spending

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

FRANKLIN, JOHN

NPI: 1629193933 · LEXINGTON, KY 40508 · Pediatric Ophthalmology and Strabismus Specialist Physician Physician · NPI assigned 03/20/2007

$282K
Total Medicaid Paid
7,693
Total Claims
6,945
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 215 $14K
2020 535 $21K
2021 1,462 $49K
2022 1,999 $84K
2023 2,079 $68K
2024 1,403 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,792 1,588 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,366 1,247 $48K
99244 Office or other outpatient consultation, moderate to high complexity 377 360 $41K
67311 54 49 $25K
92060 1,009 951 $22K
99243 175 165 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 153 132 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 80 74 $7K
92015 Determination of refractive state 2,102 1,893 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 47 $5K
92201 184 126 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 68 63 $4K
92285 102 88 $1K
99232 Subsequent hospital care, per day, moderate complexity 20 12 $844.80
99024 123 119 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 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) 18 18 $0.00