Loading...
NPI 1861788994 · Chicago, IL · Family Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
John Franco is a family medicine physician provider located in Chicago, Illinois. This profile covers 10 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Franco |
| Address | 2535 S King Dr |
| City | Chicago |
| State | IL |
| ZIP | 60616 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 27, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $124.9K |
| Medicare | $24K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 50 | $130 | $7.2K |
| 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… | 70 | $90 | $6.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $130 | $4.4K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 40 | $80 | $2.7K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 20 | $70 | $1.2K |
| G0008 | Administration of influenza virus vaccine | 20 | $30 | $640 |
| G0444 | Annual depression screening, 5 to 15 minutes | 30 | $20 | $610 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 40 | $10 | $420 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 50 | $10 | $410 |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 40 | $10 | $220 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 11,676 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 2,921 | 4,030 | 70 | $130 | $13.6K |
| 99215 | 2,550 | 6,240 | 40 | $120 | $10.1K |
| 99497 | 580 | 970 | 50 | $60 | $5.5K |
| 90662 | 2,578 | 3,060 | 50 | $70 | $4.9K |
| G0008 | 3,681 | 4,590 | 50 | $30 | $2.8K |
| 36415 | 2,674 | 4,180 | 90 | $10 | $2.7K |
| 83036 | 846 | 1,510 | 50 | $10 | $2.3K |
| G0444 | 312 | 470 | 50 | $20 | $1.6K |
| 82948 | 1 | 10 | 30 | $1 | $170 |
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,790 | $70 | $116.6K |
| 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… | 110 | $60 | $6.2K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 90 | $20 | $1.4K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 40 | $20 | $700 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,968 | 14,680 | 300 | $50 | $48.7K |
| 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… | 945 | 2,320 | 70 | $50 | $13.8K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 923 | 1,410 | 210 | $10 | $9.4K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 1,948 | 2,640 | 110 | $10 | $3.7K |
Other providers in the same ZIP code as John Franco, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carlos Garcia | IL | Anatomic Pathology & Clinical Pathology Physician | $0 | $3.6M |
| Shirley Wong | IL | Internal Medicine Physician | $234.5K | $2M |
| Family Guidance Centers, Inc. | IL | Methadone Clinic | $123.8K | $2.1M |
| Pravin Muniyappa | IL | Allergy & Immunology Physician | $29.7K | $1.3M |
| Rinku Shah | IL | Family Medicine Physician | $43.9K | $873.2K |
| Michelle Zeng | IL | Internal Medicine Physician | $248K | $139.2K |
| Charles Perrott | IL | Surgery Physician | $369.9K | $0 |
| Julie Rothschild | IL | Emergency Medicine Physician | $241.4K | $51.5K |
| Heidi Brookenthal | IL | Family Medicine Physician | $42.8K | $201.7K |
| Najma Papa | IL | Internal Medicine Physician | $221.4K | $10.4K |
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.