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    OpenPayerNPI Medicare & MedicaidElisa Franquet Elia
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    Elisa Franquet Elia — Billing Profile & Reimbursement Data

    NPI 1740644780 · Worcester, MA · Diagnostic Radiology Physician

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    Elisa Franquet Elia is a diagnostic radiology physician provider located in Worcester, Massachusetts. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationElisa Franquet Elia
    Address55 Lake Ave N
    CityWorcester
    StateMA
    ZIP01655
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 6, 2016

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

    Payer SourceTotal Paid
    Medicare$58.1K
    Medicaid$490

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…400$90$34K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.140$50$7.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…70$60$4.1K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…20$90$1.9K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…160$10$1.6K
    78813In this diagnostic procedure, the provider performs PET, positron emission tomography of the whole body. PET is a type of nuclear imaging test that produces three dimensional images of functional…20$70$1.5K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…90$20$1.5K
    78608In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as…20$50$1.2K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…20$50$1.2K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…90$10$1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788151816070$580$94.4K
    78816336020$510$29.1K
    7845216034070$160$13.4K
    7860892020$250$5.5K
    712712830040$70$4.3K
    77080126350100$20$3.8K
    77081556090$30$3.5K
    78451193030$50$3.1K
    78830203030$90$2.8K
    7709261070$10$2.1K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.10$40$490

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.8990340$40$26.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Hesham MalikMADiagnostic Radiology Physician$3.9M$0
    Margo MoskosMADiagnostic Radiology Physician$717.3K$137.9K
    Jeffrey PotterMADiagnostic Radiology Physician$355.4K$201.1K
    Vivek SehgalNJDiagnostic Radiology Physician$281.4K$265.1K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K
    Yosef GolowaNYVascular & Interventional Radiology Physician$409.5K$0
    M ArmadaRIDiagnostic Radiology Physician$319.2K$13.5K
    Jeffrey BrooksMADiagnostic Radiology Physician$293K$190
    Robert SextonMSDiagnostic Radiology Physician$258K$10

    Nearby Providers

    Other providers in the same ZIP code as Elisa Franquet Elia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Umass Memorial Medical Center, Inc.MAGeneral Acute Care Hospital$0$490.8M
    Umass Memorial Medical Group IncMAInternal Medicine Physician$0$98.5M
    Bradley SwitzerMAInternal Medicine Physician$524.2K$0
    Ilsa GrunderMANurse Practitioner$419.2K$0
    Erica GhoshMADiagnostic Radiology Physician$286.3K$110K
    Matthew PeckhamMADiagnostic Radiology Physician$348.3K$1.1K
    Umass Memorial Mri & Imaging Center, LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$102.9K$216.4K
    Thomas FitzgeraldMARadiation Oncology Physician$293.9K$0
    Ryan HolsteadMAHematology & Oncology Physician$270.2K$7.6K
    Robert LeeMADiagnostic Radiology Physician$269.3K$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. Massachusetts Distribution
    Elisa Franquet Elia — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Elisa Franquet Elia — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts