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.

Roy Francis (NPI 1295401743)

Field	Value
Entity Type	Individual
Organization	Roy Francis
Address	3224 Restview St
City	Longview
State	TX
ZIP	75605
Taxonomy	Certified Respiratory Therapist
NPI Enumerated	August 16, 2021

Payer Source	Total Paid
Medicare	$52.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
94070	In this procedure, the provider deliberately induces bronchospasm by controlled and measurable exposure to a specific stimulant. He then performs spirometry multiple times to evaluate the lung…	330	$50	$15.4K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	330	$40	$13.6K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	330	$30	$9.7K
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	340	$30	$8.4K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	330	$10	$3.7K
94762	The provider monitors the patient’s oxygen saturation overnight using a sensor on the ear or finger.	110	$20	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Roy Francis — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
94726	24	460	70	$30	$3.1K
94070	1	10	20	$40	$3.1K
94375	8	130	50	$30	$2.8K
94618	6	340	30	$20	$1.5K
94762	3	10	60	$20	$1.5K
94200	1	10	20	$10	$670

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacquelyn Hopkins	TX	Family Nurse Practitioner	$1.6M	$0
Samir Germanwala	TX	Cardiovascular Disease Physician	$515.5K	$0
Daniel Theesfeld	TX	Interventional Pain Medicine Physician	$348.8K	$131.6K
Jeffrey Hart	TX	Internal Medicine Physician	$479.7K	$0
Jonathan Greifenkamp	TX	Cardiovascular Disease Physician	$463.5K	$0
Kathleen Harris	TX	Internal Medicine Physician	$462.6K	$0
Jorge Massare-rodriguez	TX	Clinical Cardiac Electrophysiology Physician	$451.9K	$0
Babajide Ogunseinde	TX	Orthopaedic Surgery Physician	$444.1K	$0
Ronald Scott	TX	Interventional Cardiology Physician	$348.3K	$0
Jeffrey Shea	TX	Pulmonary Disease Physician	$307.8K	$0

Roy Francis — Billing Profile & Reimbursement Data

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Roy Francis — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References