Physician
Franco, Joel
Franco, Joel was paid $43K by Medicaid between Nov 2020 and Aug 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 57% of everything it billed.
33Billing provider infoFRANCO, JOEL
LAS VEGAS, NV 89120
LAS VEGAS, NV 89120
33aNPI1891108452assigned 06/11/2014
33bProvider typeOtolaryngology Physician
28Total paid$43K
24GClaims2,122
24DCodes billed9
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Otolaryngology Physician providers in Nevada
Rank by total paid#13 of 28
Median peer was paid$32K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 21 | $836.82 | |
| 2021 | 248 | $9K | |
| 2022 | 1,008 | $16K | |
| 2023 | 655 | $12K | |
| 2024incomplete | 190 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 57% | 603 | 560 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 572 | 493 | $17K |
| 31231 | 2.7% | 13 | 13 | $1K | |
| 69210 | <1% | 17 | 14 | $251.45 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 184 | 165 | $0.89 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 249 | 203 | $0.00 |
| 3725F | 0% | 284 | 235 | $0.00 | |
| 1036F | 0% | 73 | 67 | $0.00 | |
| 3008F | 0% | 127 | 113 | $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.