Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFranklin Chen
    Ask Trek AI about this page

    Franklin Chen — Billing Profile & Reimbursement Data

    NPI 1245387554 · Edison, NJ · Orthopaedic Surgery Physician

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Franklin Chen is a orthopaedic surgery physician provider located in Edison, New Jersey. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFranklin Chen
    Address10 Parsonage Rd Ste 500
    CityEdison
    StateNJ
    ZIP08837
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJanuary 5, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$134K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…340$100$34.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…110$130$14.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$380$12.7K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…330$30$8.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$150$8.5K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.150$50$7.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…80$80$6.2K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$200$5.7K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…250$20$4.5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$170$3.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,29213,640130$90$23.6K
    64721389030$490$16.6K
    971122,0273,520390$20$13.5K
    992137,76114,090100$70$13.1K
    26055439030$330$12.9K
    992151,4153,75040$140$12K
    971402,3693,500420$20$10.3K
    206106471,11080$60$10K
    992046677,16040$130$6.5K
    992051,0861,97030$170$6.5K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Fabio OrozcoNJOrthopaedic Surgery Physician$608.6K$0
    Khashayar SalartashNJVascular Surgery Physician$443.2K$0
    Robert ChapdelaineNJPain Medicine Physician$389.3K$0
    Orlee HamerNJPhysical Medicine & Rehabilitation Physician$341.7K$0
    Carl SpivakNJNeurological Surgery Physician$339.1K$0
    Philip CerauloNJPhysical Medicine & Rehabilitation Physician$276.9K$0
    Samyadev DattaNJPain Medicine (Anesthesiology) Physician$249.8K$0
    Ketan HiraparaNJPain Medicine Physician$235.3K$0
    Seth SteinNJDiagnostic Radiology Physician$197.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Jersey Institute For Disabilities IncNJDevelopmentally Disabled Services Day Training Agency$0$132.5M
    Grace Healthcare Services LLCNJCommunity Based Hospice Care Agency$0$42.5M
    Autism Community Services Inc.NJChild Intellectual and/or Developmental Disabilities Respite Care$0$20.3M
    Edison Township Board Of EducationNJLocal Education Agency (LEA)$0$8.7M
    Mohammad QureshiNJSpecialist$6.8M$818.3K
    May Street Surgi Center, LLCNJAmbulatory Surgical Clinic/Center$689.8K$6.2M
    Home Care Services, Inc.NJHome Infusion Therapy Pharmacy$91.8K$1.6M
    Edison Surgery Center LLCNJAmbulatory Surgical Clinic/Center$1.4M$0
    Amjad KhanNJAnatomic Pathology & Clinical Pathology Physician$796K$0
    James BentleyNJAnatomic Pathology & Clinical Pathology Physician$743.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Franklin Chen — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey