Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › WATERBURY › FRANKLIN MEDICAL GROUP, PC

FRANKLIN MEDICAL GROUP, PC

NPI: 1780686964 · WATERBURY, CT 06706 · Dentist · NPI assigned 06/01/2005

$13.48M
Total Medicaid Paid
671,472
Total Claims
565,804
Beneficiaries
192
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSCHNEIDER, STEVEN (PRESIDENT)
NPI Enumeration Date06/01/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 178,274 $2.89M
2019 183,135 $3.18M
2020 134,840 $2.93M
2021 157,461 $3.91M
2022 17,762 $577K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 102,208 85,750 $5.22M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,761 43,337 $1.87M
99284 Emergency department visit for the evaluation and management, high severity 9,841 7,177 $418K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,500 2,079 $397K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,901 3,534 $357K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,518 3,794 $307K
99233 Prolong inpt eval add15 m 12,752 5,723 $264K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,296 2,058 $239K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,970 1,888 $223K
99215 Prolong outpt/office vis 4,280 3,299 $187K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 56,684 44,123 $183K
90791 Psychiatric diagnostic evaluation 3,822 3,421 $179K
99232 Subsequent hospital care, per day, moderate complexity 8,221 3,710 $178K
90460 Immunization administration through 18 years of age via any route, first or only component 4,920 4,674 $177K
99244 Office or other outpatient consultation, moderate to high complexity 1,635 1,421 $175K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,467 1,403 $167K
99223 Prolong inpt eval add15 m 2,981 2,484 $144K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,783 2,507 $140K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,381 3,039 $133K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,460 4,655 $129K
90853 Group psychotherapy (other than of a multiple-family group) 7,133 2,964 $127K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,098 2,521 $121K
99283 Emergency department visit for the evaluation and management, moderate severity 5,466 3,671 $120K
99205 Prolong outpt/office vis 1,242 1,176 $114K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,180 1,089 $94K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,442 7,127 $93K
99239 Hospital discharge day management, more than 30 minutes 3,003 2,580 $83K
95810 Polysomnography; sleep staging with 4 or more additional parameters 976 908 $83K
99222 Initial hospital care, per day, moderate complexity 1,679 1,430 $71K
99443 1,695 1,433 $71K
99238 Hospital discharge day management, 30 minutes or less 2,510 2,217 $65K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,275 3,096 $64K
99442 2,174 1,758 $59K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 537 514 $57K
76775 1,712 1,617 $57K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 448 427 $55K
93000 5,156 4,724 $51K
76830 Ultrasound, transvaginal 838 802 $49K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 500 444 $48K
99308 Subsequent nursing facility care, per day, straightforward 2,025 1,832 $48K
0002A 1,253 1,143 $44K
45380 Colonoscopy, flexible; with biopsy, single or multiple 563 530 $44K
0001A 1,417 1,123 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,411 1,753 $40K
99243 498 465 $40K
76642 820 755 $39K
99306 Prolong nursin fac eval 15m 645 619 $38K
95811 418 377 $36K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 317 292 $33K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 556 513 $30K
19083 86 80 $27K
76819 Fetal biophysical profile; without non-stress testing 442 240 $26K
90472 Immunization administration, each additional vaccine (list separately) 1,519 1,294 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,252 1,585 $22K
90674 1,778 1,207 $22K
99221 487 435 $20K
83655 1,670 1,564 $17K
99245 176 108 $16K
43775 25 25 $16K
90756 1,000 688 $15K
90792 Psychiatric diagnostic evaluation with medical services 348 324 $14K
90834 Psychotherapy, 45 minutes with patient 255 146 $13K
99173 1,884 1,768 $13K
92551 2,159 2,027 $13K
96127 828 738 $13K
95816 550 468 $11K
99234 151 138 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 103 96 $10K
J0585 Injection, onabotulinumtoxina, 1 unit 25 13 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 122 98 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 569 425 $9K
51798 1,363 1,271 $8K
82962 4,740 4,162 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 156 153 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 569 541 $6K
93018 1,020 874 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 608 249 $5K
99220 97 95 $5K
95886 90 83 $5K
99497 600 355 $5K
99236 Prolong inpt eval add15 m 26 25 $4K
94726 1,049 747 $4K
99401 188 151 $4K
99254 40 37 $4K
90837 Psychotherapy, 53 minutes with patient 43 27 $4K
80305 553 395 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 324 154 $3K
0004A 108 87 $3K
90686 4,092 3,751 $3K
99483 Prolong outpt/office vis 90 79 $3K
99406 316 261 $3K
93016 371 299 $3K
D0145 Oral evaluation for a patient under three years of age 123 121 $3K
36415 Collection of venous blood by venipuncture 992 905 $3K
90688 265 183 $3K
D1206 Topical application of fluoride varnish 127 125 $3K
94729 1,012 725 $3K
81025 527 421 $2K
99386 16 16 $2K
59025 Fetal non-stress test 49 44 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 61 57 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 125 101 $2K
99255 18 12 $2K
83036 Hemoglobin; glycosylated (A1C) 604 552 $2K
90670 1,251 1,179 $2K
93296 130 126 $2K
95812 32 32 $2K
95911 15 15 $1K
95910 28 24 $1K
99307 67 66 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 123 95 $1K
43259 13 12 $985.87
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 779 469 $977.36
93227 74 73 $932.11
90715 37 30 $922.42
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 72 67 $857.50
99385 12 12 $831.00
20610 36 25 $808.67
94060 191 120 $736.20
99464 24 12 $691.92
81003 2,380 2,198 $634.92
94760 401 361 $629.14
99252 13 12 $590.33
99498 72 42 $588.27
D1120 Prophylaxis - child 17 17 $555.42
11721 120 56 $544.97
99304 12 12 $513.36
99219 14 14 $511.60
94010 186 146 $476.28
99441 416 379 $418.65
94664 39 37 $358.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 13 13 $337.51
D0120 Periodic oral evaluation - established patient 15 15 $312.90
96375 Therapeutic injection; each additional sequential IV push 22 15 $267.58
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26 25 $239.68
99318 14 12 $205.49
11056 27 12 $171.00
J1030 Injection, methylprednisolone acetate, 40 mg 48 36 $163.06
J1050 Injection, medroxyprogesterone acetate, 1 mg 218 216 $162.01
95251 13 12 $148.06
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 52 47 $117.05
82274 14 13 $109.61
86580 18 16 $106.42
93040 19 13 $33.48
G0008 Administration of influenza virus vaccine 41 40 $12.84
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 39 38 $5.98
90681 149 131 $0.01
90685 58 58 $0.01
G8783 Normal blood pressure reading documented, follow-up not required 68,281 63,849 $0.00
4004F 1,806 1,620 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 17,823 16,637 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20,841 19,151 $0.00
90461 1,997 1,898 $0.00
90633 123 118 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,223 1,132 $0.00
G8482 Influenza immunization administered or previously received 1,555 1,332 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 464 439 $0.00
3046F 44 37 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 419 380 $0.00
91300 2,776 2,331 $0.00
90734 44 43 $0.00
2022F 294 280 $0.00
90648 40 39 $0.00
3045F 140 131 $0.00
3021F 26 26 $0.00
99072 37 35 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 14 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 45,165 42,417 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 4,554 4,276 $0.00
1036F 55,402 51,101 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 5,810 5,361 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 22,876 21,298 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,048 1,863 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 1,411 1,286 $0.00
90723 24 24 $0.00
3017F 10,156 9,370 $0.00
90698 695 668 $0.00
3044F 173 168 $0.00
3014F 442 420 $0.00
3061F 776 751 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 53 52 $0.00
64615 29 27 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 52 50 $0.00
1111F 32 27 $0.00
G8708 Patient not prescribed antibiotic 177 175 $0.00
90744 42 42 $0.00
0500F 29 29 $0.00
0501F 13 13 $0.00
90697 16 12 $0.00
91305 24 13 $0.00