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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatrick Francke
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    Patrick Francke — Billing Profile & Reimbursement Data

    NPI 1609873785 · Myrtle Beach, SC · Radiation Oncology Physician

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    Patrick Francke is a radiation oncology physician provider located in Myrtle Beach, South Carolina. This profile covers 26 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
    OrganizationPatrick Francke
    Address4708 Oleander Dr
    CityMyrtle Beach
    StateSC
    ZIP29577
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJuly 5, 2005

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    PATRICK FRANCKE’s Medicare revenue footprint is concentrated and specialized: lifetime Medicare revenue is $2.8M while there is no Medicaid billing on file, making the provider effectively single‑payer Medicare in scale. The three highest‑revenue Medicare codes — G6015 ($1M, 36.6%), 77373 ($390.6K, 14.1%), and 77301 ($357.8K, 12.9%) — together account for 63.7% of total Medicare revenue, indicating significant dependence on a small set of high‑value treatment codes.

    The code mix points to a practice concentrated on advanced external beam and stereotactic treatments. Heavy billing for G6015 (intensity modulated treatment delivery), 77301 (IMRT planning/delivery), and 77373 (stereotactic body radiation therapy, single fraction) plus meaningful contributions from 77338 and 77435 suggests the operation is focused on high‑complexity IMRT and SBRT service lines rather than general outpatient primary care or broad multispecialty E&M.

    Revenue concentration around a few technical radiation codes creates operational leverage but also payer exposure: the top three codes drive 63.7% of Medicare revenue, so changes in coverage, utilization review, or reimbursement for IMRT/SBRT delivery (codes G6015, 77373, 77301) would have an outsized impact on overall revenue. That concentration also implies efficiency in delivering those specific services, which can be an advantage in contracting for oncology bundles or specialty networks.

    National ranking and percentile data indicate an outsized competitive standing for multiple delivery codes. G6015 ranks #18 of 1429 providers (99th percentile; extreme outlier), 77373 ranks #2 of 454 providers (100th percentile; extreme outlier), and 77301 ranks #9 of 3815 providers (100th percentile; extreme outlier), signaling that this provider is a major national outlier in volume for several radiation‑delivery and SBRT codes rather than a modest local participant.

    Beyond the top three, a cluster of planning, simulation, and physics codes also show very high national standing, consistent with a high‑throughput radiation program. Examples include 77014 (rank #22 of 4303, 100th percentile; extreme outlier), 77427 (rank #30 of 4720, 99th percentile; extreme outlier), 77300 (rank #16 of 4719, 100th percentile; extreme outlier), 77338 (rank #15 of 3807, 100th percentile; extreme outlier), 77336 (rank #17 of 1488, 99th percentile; extreme outlier), 77435 (rank #6 of 1480, 100th percentile; extreme outlier), and 77263 (rank #4 of 4379, 100th percentile; extreme outlier), which together underscore substantial volume across planning and delivery workflows.

    Evaluation & management activity is present but a much smaller revenue share compared with technical radiation services. High‑complexity new patient visits (99205: 146 claims, $22.9K, 0.8% of Medicare revenue; rank #1071 of 66257, 98th percentile; extreme outlier) indicate some direct physician evaluation, but E&M codes collectively make up a minor portion of revenue, consistent with a procedure‑centric oncology practice.

    The absence of any Medicaid billing on file (none below) means the provider has effectively no Medicaid revenue exposure; payer mix is therefore highly skewed to Medicare. For payers and network planners this suggests limited Medicaid penetration and that contracting or service access discussions will be driven by Medicare volumes and reimbursement dynamics rather than state Medicaid relationships.

    Long tenure in the NPI file supports the inference of an established radiation oncology practice: NPI enumerated 2005-07-05 (~21 years ago). Combined with the concentrated, high national rankings on IMRT and SBRT codes, the pattern is consistent with a mature, focused radiation oncology operation specializing in complex external beam therapies and associated physics/planning services.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session3,920$260$1M
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…540$720$390.6K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…270$1,340$357.8K
    77014N/A4,000$90$352K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…870$140$124K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…1,910$50$93.6K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…270$340$92.5K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…990$60$61.3K
    77435In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…110$490$53.5K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev310$160$49.6K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60152101,610$260$471.7K
    77373110130$720$140.5K
    77014260740$60$51.9K
    G6012510300$170$50.6K
    77280185040$180$47.4K
    7730115050$700$43.3K
    77427270210$140$38.6K
    77336120370$60$25.1K
    992146,9407,860160$80$23.2K
    7733815060$230$15.1K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Constantine MantzFLTherapeutic Radiology Physician$3.8M$0
    Sonal SuraFLTherapeutic Radiology Physician$3.5M$3.5K
    Timothy KerwinFLRadiation Oncology Physician$3.4M$0
    Jordan HendersonSCHematology & Oncology Physician$3.1M$0
    Dejuania Brown-rawlsSCHematology & Oncology Physician$2.8M$0
    Daniel DosoretzFLRadiation Oncology Physician$2.8M$0
    John SylvesterFLRadiation Oncology Physician$2.5M$0
    Michael HanusFLRadiation Oncology Physician$2.4M$0
    David ZaengerSCRadiation Oncology Physician$2.3M$0
    Hejal PatelALRadiation Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kings Highway Dental Health Center, P.C.SCGeneral Practice Dentistry$0$9.4M
    Beachside Home Service, LLCSCIn Home Supportive Care Agency$0$6.3M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$6.2M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4.5M
    Stephen AndrewsSCRadiation Oncology Physician$2M$0
    Mofdaps And CompanySCPsychiatry Physician$0$1.9M
    Coastal Wellness Center, LLCSCPrimary Care Clinic/Center$0$1.8M
    Myrtle Beach Treatment Specialists LLCSCMethadone Clinic$116.9K$1.4M
    City Of Myrtle BeachSCAmbulance$301.4K$738K
    Tidelands Health Market Common LLCSCRadiology Clinic/Center$759.6K$0

    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. South Carolina Distribution
    Patrick Francke — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina