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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Gregg Franklin (NPI 1124018353)

Field	Value
Entity Type	Individual
Organization	Gregg Franklin
Address	4901 Lang Ave Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Radiation Oncology Physician
NPI Enumerated	October 27, 2005

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

Provider profile and tenure: GREGG FRANKLIN is a Radiation Oncology Physician based in ALBUQUERQUE, NM with an NPI enumerated on 2005-10-27 (~21 years ago), indicating long-standing Medicare enrollment and clinical presence in the market. The taxonomy and long enrollment window are consistent with an established radiation oncology practice rather than a very recent entrant.

Single-payer concentration: Lifetime Medicare revenue for this provider is $2.5M while Medicaid shows none (no Medicaid billing on file), meaning this provider’s recorded public-payer activity is effectively single-payer (Medicare) in the available claims data. Analysts should treat Medicaid as absent for competitive or payer-mix modeling.

Revenue concentration risk: The provider’s top three Medicare codes account for 86.7% of total Medicare revenue, with a single code, A9607, contributing $2M or 78.1% of Medicare revenue (10.1K claims, $194 avg paid/claim). This is an extremely concentrated revenue profile where one radiopharmaceutical dominates the practice’s Medicare receipts.

Service-line implications: The revenue mix is weighted toward radiopharmaceutical therapy—A9607 (Lutetium lu 177 vipivotide tetraxetan) is the dominant line—while other billed codes (for example, G6015 for intensity modulated treatment delivery and 77301/77334 planning and device design codes) indicate the practice also provides external-beam IMRT planning and delivery services. In other words, the operation appears to offer both advanced radioligand therapy and conventional/advanced external-beam radiation oncology services, but reimbursement is heavily driven by the radiopharmaceutical code.

Competitive standing on top revenue code(s): For A9607 this provider ranks #14 of 44 nationally (70th percentile; typical, unremarkable volume), which places them above the median among the limited national set of billers for that product but not among national leaders. Other relatively high-percentile code positions include 99205 at the 88th percentile and 77470 at the 84th percentile, suggesting the provider is above-typical on some evaluation/management and select special radiotherapy procedures, even though overall volume is modest in absolute Medicare dollars.

Typical vs. low-volume procedure mix: Many technical and planning codes show typical, unremarkable national volumes (e.g., G6015 rank #715 of 1429, 50th percentile; 77014 rank #996 of 4303, 77th percentile), while several delivery/advanced-tech codes are low relative to peers (for example, 77373 rank #372 of 454, 17th percentile; G6013 rank #450 of 581, 22th percentile; G6002 rank #1976 of 2280, 13th percentile). This pattern indicates selective strengths but also gaps in relative activity for some advanced stereotactic and localization services.

Operational/financial implication: Heavy dependence on A9607 (78.1% of Medicare revenue) means changes in utilization, reimbursement, or access to that specific radiopharmaceutical would have outsized impact on the provider’s Medicare revenue; payers or network managers modeling risk or negotiating value-based arrangements should explicitly account for that concentration. Given the practice also bills a spread of planning, simulation, and delivery codes, there is operational capacity to deliver conventional radiation therapy even if radioligand demand fluctuates.

Breadth of technical capabilities: The provider bills a range of codes that together describe a full radiation oncology workflow—simulation and planning (77290, 77295), IMRT planning and design (77301, 77338, 77334), treatment delivery (G6012/G6013/G6014 variants, G6015), and stereotactic fractions (77373)—which supports an interpretation of a clinic offering both radiopharmaceutical and multi-modality external-beam treatments. However, the revenue distribution shows those breadth elements are secondary to the Lu-177 radiopharmaceutical line in terms of Medicare dollars.

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9607	Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie	10,120	$190	$2M
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	530	$260	$140.2K
77014	N/A	850	$90	$76.1K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	30	$1,350	$44.7K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	210	$150	$32.1K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	170	$170	$28.9K
G6014	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater	140	$170	$23.6K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	30	$730	$22.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	200	$100	$18.9K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	50	$340	$15.8K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Gregg Franklin — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9607	1	10	10,120	$190	$2M
G6015	1	10	70	$260	$49.4K
77280	4	10	50	$190	$45.8K
77014	2	10	580	$50	$27.5K
77427	6	20	130	$150	$24.1K
G6014	2	10	140	$170	$21.9K
77373	1	10	30	$720	$20.7K
77301	9	10	40	$450	$19.1K
G6012	2	10	80	$170	$16.5K
77401	4	10	310	$30	$14.7K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gila Regional Medical Center	NM	Critical Access Hospital	$0	$33.3M
New Mexico Oncology Hematology Consultants, Ltd.	NM	Hematology & Oncology Physician	$0	$4.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Scott Stoerner	NM	Rheumatology Physician	$1.5M	$0
Shaya Ansari	NY	Diagnostic Radiology Physician	$1.5M	$1K
Pranshu Bansal	AZ	Hematology & Oncology Physician	$1.4M	$0
Ronald Kubica	NM	Medical Oncology Physician	$1M	$0
Annette Fontaine	NM	Medical Oncology Physician	$918.5K	$0
Mrunal Tailor	NM	Diagnostic Radiology Physician	$897.5K	$0
Jose Avitia	NM	Hematology & Oncology Physician	$880.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M

Gregg Franklin — Billing Profile & Reimbursement Data

Sign up for Gregg Franklin — Billing Profile & Reimbursement Data policy alerts

Gregg Franklin — Billing Profile & Reimbursement Data

Sign up for Gregg Franklin — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References