Physician
Thomas Francis D.O., L,L.C.
Thomas Francis D.O., L,L.C. was paid $343K by Medicaid between Jan 2018 and Aug 2022, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoTHOMAS FRANCIS D.O., L,L.C.
NORTH ARLINGTON, NJ 07031
NORTH ARLINGTON, NJ 07031
33aNPI1801168646assigned 02/08/2012
33bProvider typePediatrics Physician
28Total paid$343K
24GClaims15,041
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#213 of 549
Median peer was paid$154K
This provider vs. median2.2×
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 | 4,317 | $91K | |
| 2019 | 3,053 | $64K | |
| 2020 | 2,193 | $61K | |
| 2021 | 3,113 | $79K | |
| 2022 | 2,365 | $49K |
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 | 63% | 5,266 | 4,465 | $215K |
| 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 | 27% | 2,120 | 1,865 | $93K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 340 | 301 | $13K |
| 36415 | Collection of venous blood by venipuncture | 2.4% | 3,413 | 3,203 | $8K |
| 87071 | <1% | 479 | 466 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 200 | 194 | $2K |
| 99496 | <1% | 14 | 14 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 22 | 22 | $2K |
| 81003 | <1% | 841 | 818 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 14 | $789.36 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $670.86 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 13 | $540.00 |
9 more codes
| 99383 | <1% | 13 | $518.70 | |
| 90686 | <1% | 29 | $304.25 | |
| 90461 | <1% | 26 | $220.01 | |
| 81025 | <1% | 58 | $188.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | $186.01 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $177.62 |
| 81002 | <1% | 57 | $44.78 | |
| 99000 | <1% | 2,067 | $7.14 | |
| 87252 | 0% | 15 | $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 officialFRANCIS, THOMAS (OWNER)