Marie Pearl C. Francisco, MD, INC

Marie Pearl C. Francisco, MD, INC was paid $155K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99497, — 92% of everything it billed.

33Billing provider infoMARIE PEARL C. FRANCISCO, MD, INC
STOCKTON, CA 95204

33aNPI1770721649assigned 01/30/2009

33bProvider typePrimary Care Clinic/Center

28Total paid$155K

24GClaims5,481

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#131 of 422

Median peer was paid$25K

This provider vs. median6.3×

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	1,324	$51K
2019	1,075	$34K
2020	850	$18K
2021	806	$23K
2022	445	$13K
2023	538	$8K
2024incomplete	443	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99497		92%	2,046	2,023	$143K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.8%	3,027	2,854	$9K
90682		1.3%	44	44	$2K
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	<1%	127	123	$472.16
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	43	42	$369.26
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	34	34	$359.52
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	16	$29.97
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	0%	112	111	$0.00
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	0%	15	15	$0.00
99401		0%	17	17	$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.

From NPPES

Who's on the registration

Authorized officialFRANCISCO, MARIE (PRESIDENT)