Physician
Franco-Chen, Mildred
Franco-Chen, Mildred was paid $200K by Medicaid between Jan 2018 and Jan 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoFRANCO-CHEN, MILDRED
FRANKLIN, TN 37064
FRANKLIN, TN 37064
33aNPI1700995503assigned 08/29/2006
33bProvider typePediatrics Physician
28Total paid$200K
24GClaims7,635
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#149 of 333
Median peer was paid$139K
This provider vs. median1.4×
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 | 4,671 | $127K | |
| 2019 | 2,126 | $58K | |
| 2020 | 758 | $13K | |
| 2021 | 80 | $2K |
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 | 26% | 1,097 | 875 | $51K |
| 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 | 25% | 905 | 726 | $50K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 995 | 901 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 373 | 325 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 186 | 152 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 810 | 699 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 73 | 62 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 277 | 244 | $4K |
| 92551 | 1.9% | 463 | 378 | $4K | |
| 96127 | 1.1% | 678 | 562 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | 24 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 158 | 145 | $953.07 |
8 more codes
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.