EDWARD FRANKO, M.D.
Colon & Rectal Surgery Physician · DALLAS, TX
Individual Active NPI 1316026412
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 282 | 1,067 | $819,760 | $193,745 | $149,907 |
| 2023 | 282 | 920 | $726,710 | $173,668 | $134,414 |
| 2022 | 311 | 967 | $569,912 | $179,272 | $140,353 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 216 | $125 | $90 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 185 | $115 | $90 |
| 46600 | Diagnostic exam of anus using an endoscope | 98 | $115 | $86 |
| 45300 | Diagnostic exam of rectum and lower large bowel using an endoscope | 97 | $125 | $96 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 90 | $92 | $76 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 60 | $206 | $173 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 | $165 | $117 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 | $168 | $131 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 35 | $178 | $123 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 21 | $217 | $150 |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 12 | $320 | $264 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | J1663 | TX |
| Specialist | 174400000X | J1663 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.