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 & MedicaidGrant Franklin
    Ask Trek AI about this page

    Grant Franklin — Billing Profile & Reimbursement Data

    NPI 1407881535 · Bridgeport, WV · Urology Physician

    Customize your policy alerts

    Sign up for Grant Franklin — 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.

    Grant Franklin is a urology physician provider located in Bridgeport, West Virginia. This profile covers 13 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
    OrganizationGrant Franklin
    Address135 Professional Pl
    CityBridgeport
    StateWV
    ZIP26330
    TaxonomyUrology Physician
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicare$46.6K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…180$50$9.3K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$540$8.1K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$280$5.7K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$430$5.6K
    55700Code deleted December 31, 2025.50$100$5.2K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…40$110$4.8K
    52318The provider performs a complicated cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…10$310$3.4K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…50$20$1.3K
    52204The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder and takes biopsies…20$60$1.1K
    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…10$60$840

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,6182,740100$70$11.8K
    5059061020$430$10K
    5264821020$510$8.2K
    5235692020$310$6.9K
    5200024060$70$4.7K
    5231811010$310$3.4K
    5172051040$40$2.5K
    5233223020$100$2.5K
    5570012020$90$1.9K
    5220421020$80$1.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Hospital Center, IncWVGeneral Acute Care Hospital$0$63.3M
    United Hospital Center, Inc.WVInternal Medicine Physician$0$13.7M
    United Hospital CenterWVInternal Medicine Physician$0$1.5M
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    Sathyanarayan ReddyWVCardiovascular Disease Physician$521.3K$0
    Vasil ParousisMDUrology Physician$468.1K$0
    Matthew MacatolOHAnatomic Pathology & Clinical Pathology Physician$348.7K$470
    Jeramie Rosales RodriguezMOPsychiatry Physician$2.1K$289.9K
    John AdeniyiWVVascular Surgery Physician$278.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Specialists, Inc.WVInfectious Disease Physician$0$11.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.3M
    Bridgeport Behavioral ClinicWVPsychiatry Physician$0$5.7M
    Doctors Specialty CareWVAddiction Medicine (Family Medicine) Physician$0$4.1M
    Delta Lifestyle SolutionsWVFamily Medicine Physician$0$4.1M
    Lincare IncWVDurable Medical Equipment & Medical Supplies$0$4M
    Cornerstone Pediatric Therapy Center, LLCWVPediatric Occupational Therapist$0$3.7M
    Mountain State Medical Specialties, PLLCWVDermatology Physician$0$3.6M
    Seyed MomenWVPediatric Dentistry$0$3.2M
    Community Care Of West Virginia, Inc.WVCommunity/Behavioral Health Agency$0$2.6M

    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. West Virginia Distribution
    Grant Franklin — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia