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

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Bncfranco, LLC (NPI 1144658428)

Field	Value
Entity Type	Organization
Organization	Bncfranco, LLC
Address	935 Pendale Rd
City	El Paso
State	TX
ZIP	79907
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 23, 2013

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	18,490	$590	$10.8M
M0125	N/A	12,970	$90	$1.2M
M0123	N/A	12,550	$80	$953.9K
H2014	Skills training and development, per 15 minutes	19,550	$50	$899.5K
M0122	N/A	7,200	$70	$518.4K
T2020	Day habilitation, waiver; per diem	11,610	$40	$441.3K
M0118	N/A	10,320	$40	$371.4K
M0152	N/A	1,680	$160	$266.5K
M0116	N/A	5,700	$30	$176.7K
M0124	N/A	1,130	$120	$134.1K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Bncfranco, LLC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	111	430	5,020	$270	$5.6M
H2014	Skills training and development, per 15 minutes	150	560	9,630	$80	$1.4M
M0152	N/A	34	40	5,390	$170	$1.3M
M0124	N/A	22	30	5,900	$120	$879.4K
M0123	N/A	45	190	7,520	$80	$861.3K
M0125	N/A	10	70	6,600	$90	$810.4K
M0122	N/A	52	120	6,320	$70	$648K
H2019	Therapeutic behavioral services, per 15 minutes	116	160	1,030	$100	$322.9K
T2020	Day habilitation, waiver; per diem	27	370	2,050	$70	$306.1K
M0116	N/A	108	240	5,200	$30	$250.7K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apc Home Health Service, Inc	TX	Home Health Agency	$0	$66.2M
San Antonio In Home Health Care	TX	In Home Supportive Care Agency	$0	$17M
Texas Kids Dental Care PA	TX	Dentist	$0	$12.9M
Jose Diaz Pagan	TX	Orthopaedic Surgery Physician	$29.2K	$0

Bncfranco, LLC — Billing Profile & Reimbursement Data

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Bncfranco, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References