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    OpenPayerNPI Medicare & MedicaidJohn Francis
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    John Francis — Billing Profile & Reimbursement Data

    NPI 1578906574 · Columbus, IN · Urology Physician

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    John Francis is a urology physician provider located in Columbus, Indiana. This profile covers 21 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Francis
    Address2326 18th St Ste 230
    CityColumbus
    StateIN
    ZIP47201
    TaxonomyUrology Physician
    NPI EnumeratedApril 10, 2013

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

    Payer SourceTotal Paid
    Medicare$134.2K
    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.

    21 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…590$80$48.7K
    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…130$160$21.7K
    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…90$130$11.6K
    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…80$110$9.5K
    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$6.6K
    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…90$60$5.8K
    55700Code deleted December 31, 2025.30$170$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…30$150$4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$3.7K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.30$100$3.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921474110,540110$80$15.5K
    520004919090$130$13.1K
    523563110020$520$12K
    992323,9063,97090$60$11.8K
    992232,5513,08040$120$8.2K
    992134,58610,82080$50$7.6K
    992154942,73030$110$7.1K
    992055271,17030$140$5.1K
    992046464,69030$100$4.9K
    557003912020$180$4.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Regional Health Physicians, LLCINInternal Medicine Physician$0$23.2M
    Amit KhanejaNYClinical Neurophysiology Physician$1.3M$301K
    Sayuri CheruvuINMedical Oncology Physician$934.1K$0
    Edwin HerdHIPediatrics Physician$0$640.5K
    Samantha SubletteFLClinical Cardiac Electrophysiology Physician$432.2K$0
    Branko HuisaCANeurology Physician$300.4K$0
    Abdul JabbarINGastroenterology Physician$297K$0
    Christopher IorioINInternal Medicine Physician$283K$0
    John CoxINRadiation Oncology Physician$252.4K$0
    Alan WatanabeINInternal Medicine Physician$242.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Regional HospitalINGeneral Acute Care Hospital$0$35.3M
    Adaptive Nursing And Healthcare Services, LLCINHome Health Agency$0$8.6M
    Emergency Physicians Inc Of ColumbusINEmergency Medicine Physician$0$7.5M
    Interim Healthcare Of Se Indiana, Inc.INHome Health Agency$0$7.5M
    White River Dental LLCINDental Clinic/Center$0$6.9M
    Columbus Dental CorpINGeneral Practice Dentistry$0$6.4M
    Columbus Pediatric Dentistry, P.C.INPediatric Dentistry$0$5.3M
    Lynne EckerleINCase Management Agency$0$4.3M
    Steinmetz Pediatric Dentistry, P.C.INPediatric Dentistry$0$3.2M
    Sitaram Dental LLCINDental Clinic/Center$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. Indiana Distribution
    John Francis — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana