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NPI 1285736595 · Franklin, KY · Family Medicine Physician
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John Adams is a family medicine physician provider located in Franklin, Kentucky. This profile covers 80 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Adams |
| Address | 119 Memorial Dr |
| City | Franklin |
| State | KY |
| ZIP | 42134 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | September 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $247.2K |
| Medicaid | $5.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
80 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,060 | $80 | $89K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $120 | $15K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 990 | $10 | $9.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 690 | $10 | $9K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 250 | $30 | $8.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,020 | $10 | $8.2K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 100 | $80 | $7.4K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 450 | $20 | $7.3K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 50 | $150 | $7.3K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 410 | $20 | $6.5K |
Showing 1–10 of 80
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
80 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| U0003 | 6 | 10 | 40 | $70 | $27K |
| 99214 | 85 | 7,230 | 110 | $70 | $14.1K |
| 99490 | 167 | 290 | 170 | $30 | $11.9K |
| U0005 | 8 | 10 | 70 | $20 | $11.7K |
| 83970 | 16 | 20 | 60 | $40 | $10.3K |
| G0439 | 368 | 1,570 | 60 | $110 | $9.3K |
| 82306 | 61 | 120 | 70 | $30 | $8.5K |
| 99213 | 3,761 | 7,250 | 80 | $50 | $7.7K |
| 84443 | 27 | 200 | 100 | $20 | $6.8K |
| 70450 | 249 | 260 | 170 | $30 | $6.3K |
Showing 1–10 of 80
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 150 | $20 | $3.5K |
| 99213 | The 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… | 70 | $30 | $2K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 70 | $1 | $140 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 20 | $10 | $140 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 20 | $10 | $100 |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 10 | $10 | $70 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 2,782 | 3,340 | 1,020 | $30 | $296K |
| 99214 | The 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… | 1,757 | 2,460 | 580 | $40 | $245K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 278 | 310 | 3,500 | $10 | $149.9K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 813 | 870 | 480 | $20 | $61.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 553 | 730 | 710 | $1 | $57.8K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 772 | 780 | 610 | $10 | $52K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 723 | 780 | 640 | $10 | $43.2K |
Other providers in the same ZIP code as John Adams, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fast Pace Kentucky PLLC | KY | Family Nurse Practitioner | $0 | $23.2M |
| Bowling Green-warren County Community Hospital Corporation | KY | Critical Access Hospital | $0 | $13.2M |
| Familycare Counseling Center | KY | Mental Health Counselor | $0 | $7.8M |
| Franklin Simpson County Ambulance Service | KY | Land Ambulance | $328.1K | $613.8K |
| Robert Wesley | KY | Family Medicine Physician | $335.5K | $0 |
| James Allred | KY | Dermatology Physician | $309.8K | $0 |
| John Gardner | KY | Pain Medicine (Anesthesiology) Physician | $266.3K | $0 |
| Brian Macy | KY | Sports Medicine (Family Medicine) Physician | $148.9K | $0 |
| David Napier | KY | Family Medicine Physician | $141.6K | $0 |
| Ayme Rowland | KY | Family Nurse Practitioner | $129.1K | $0 |
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