Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Marc Franke (NPI 1093735631)

Field	Value
Entity Type	Individual
Organization	Marc Franke
Address	2421 W Edgewood Dr
City	Jefferson City
State	MO
ZIP	65109
Taxonomy	Optometrist
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$233.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,530	$80	$124.2K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	600	$100	$59.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	540	$60	$30.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	430	$30	$10.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	90	$90	$7.9K
76514	The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.	90	$10	$640
67820	The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.	40	$10	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Marc Franke — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	5	730	120	$80	$18K
99349	80	200	60	$80	$12K
92012	17	330	70	$60	$8.8K
92004	1	530	30	$90	$4.6K
92250	14	510	60	$20	$2.6K
67820	2	20	20	$10	$330
76514	14	130	20	$10	$300

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marc Franke, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aria Eye Care, LLC	NE	Optometrist	$0	$2M
Aria Vision Care, LLC	KS	Optometrist	$0	$874.6K
Jay Johnson	AL	Optometrist	$77.2K	$272.4K
Jilda Long	VA	Optometrist	$314.3K	$3.1K
Elizabeth Kaye	CO	Optometrist	$259.3K	$0
Pearl Shin	CO	Optometrist	$159.3K	$0
Charles Vandyck	NE	Optometrist	$155.1K	$3K
Megan Fisher	LA	Optometrist	$116.5K	$24.8K
Stephen Mullen	MO	Optometrist	$119.2K	$6.4K
Xuan Pham	LA	Optometrist	$104.4K	$3.8K

Nearby Providers

Other providers in the same ZIP code as Marc Franke, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Rehabilitation Counselor	$0	$160.2M
Help At Home, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$97M
Ssm Regional Health Services	MO	General Acute Care Hospital	$0	$20.8M
Rehab Specialty Medical, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.7M
Day Solutions, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14M
Skillset LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.6M
Independent Living Resource Center, Inc.	MO	Home Health Agency	$0	$8.3M
Tiffany Burns	MO	Student in an Organized Health Care Education/Training Program	$0	$7.7M
County Of Cole	MO	Land Ambulance	$809.3K	$5.2M
Community Hospices Of America, LLC	MO	Community Based Hospice Care Agency	$0	$4M

Marc Franke — Billing Profile & Reimbursement Data

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Marc Franke — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References