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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

John Franklin (NPI 1407953870)

Field	Value
Entity Type	Individual
Organization	John Franklin
Address	9003 Havensight
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Urology Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$92.3K
Medicaid	$0

Key Findings

Medicare revenue is concentrated: this provider reports Total Medicare revenue of $92.3K, and the precomputed top 3 Medicare codes by revenue account for 69.2% of this provider's total Medicare revenue. Those top three codes are J3315 ($36.2K, 39.2%), 99214 ($18.2K, 19.8%), and 52000 ($9.4K, 10.2%), together representing the bulk of billed Medicare dollars.

Service-line profile points to office-based urology with hormonal therapy: the largest single revenue code is J3315 (Injection, triptorelin pamoate, 3.75 mg) with 126 claims and $36.2K revenue, complemented by high-volume E/M code 99214 (237 claims, $18.2K) and cystoscopy 52000 (50 claims, $9.4K). This mix — recurrent drug administration, evaluation-and-management visits, and office cystoscopy — is consistent with a urology practice that delivers in-office injections and performs ambulatory diagnostic/therapeutic procedures.

Payer mix is effectively single-payer Medicare: the profile shows Total Medicare revenue of $92.3K and no Medicaid billing on file (none). The absence of Medicaid activity means this provider’s public-payer exposure is concentrated entirely in Medicare, which may limit visibility into dual-payer care patterns.

Competitive standing is modest rather than dominant across flagship services: J3315 ranks #28 of 73 providers nationally (61th percentile) and is described as typical, unremarkable volume for this code; 99214 ranks #129289 of 479517 providers nationally (73th percentile) and is also described as typical, unremarkable volume; 52000 ranks #5692 of 8548 providers nationally (33th percentile) and is described as typical, unremarkable volume. Those rankings indicate the provider is a routine, modest participant nationally for its top Medicare services rather than a major outlier or regional leader.

Long tenure but limited Medicare scale: the NPI was enumerated on 2006-09-20 (~20 years ago), indicating long-standing enrollment in the Medicare program, yet lifetime Medicare revenue on file is relatively small at $92.3K. The combination of long tenure and modest billed dollars suggests either a low-volume solo practice, part-time billing, or supplemental/ancillary role within a broader clinical ecosystem.

Several billed services sit at low national percentiles, reflecting limited volume for certain procedures and high-complexity new-patient visits: for example, 99205 ranks #58960 of 66257 providers nationally (6th percentile) and 76872 ranks #3461 of 4483 providers nationally (20th percentile), both described as typical, unremarkable volume for these codes. These low-percentile entries indicate the provider performs relatively few high-complexity new-patient visits and some specialized ultrasound procedures compared with national peers.

Operational capability is demonstrated by a mix of injections, catheter procedures, and office diagnostics: in addition to J3315 (126 claims) and 52000 (50 claims), the claims list includes catheter-related codes such as 51702 (45 claims) and diagnostic flows like 51741 (48 claims) and 76857 (45 claims). That pattern supports a practice model with on-site medication administration and basic urologic diagnostic services rather than a purely consultative E/M-only workflow.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3315	Injection, triptorelin pamoate, 3.75 mg	130	$290	$36.2K
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…	240	$80	$18.2K
52000	In 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…	50	$190	$9.4K
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…	140	$60	$7.9K
99204	The 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…	50	$110	$5.5K
55700	Code deleted December 31, 2025.	20	$180	$3.1K
99215	The 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…	30	$100	$2.7K
51702	The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…	50	$40	$1.9K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	20	$110	$1.8K
99205	The 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…	10	$130	$1.6K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

John Franklin — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3315	2	10	310	$290	$90.8K
99215	21	30	60	$120	$19.8K
99214	20	80	100	$80	$15.5K
52000	2	10	70	$180	$13.2K
99213	26	80	100	$50	$7.6K
55700	2	10	40	$170	$6.2K
99205	15	20	30	$140	$4.9K
99204	11	40	40	$100	$4.4K
99203	28	30	50	$60	$3.8K
76872	2	10	40	$60	$2.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

John Franklin — Billing Profile & Reimbursement Data

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

John Franklin — Billing Profile & Reimbursement Data

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

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References