Physician

Franklin Lam, M.D.

According to 2025 Medicare claims, Franklin Lam, M.D. (NPI: 1194166280) practices nephrology in the Farmington, NM market, with the plurality of this provider's patient population coming from San Juan, NM. This provider's primary affiliated billing organization is FOUR CORNERS NEPHROLOGY ASSOCIATES PC (NPI: 1144327172; TIN: 85-0376888) and primary practice location at 87401-6589. Lam is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Lam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 340 traditional Medicare patients, billed 1,444 HCPCS/CPT codes, and received $108,603 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 466 prescription claims across 96 beneficiaries totaling $26,179 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 40 claims. Open Payments data shows 18 records totaling $384. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $35,430 and ending at $26,179. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $260 and ending at $3,653.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	149	511	$38,525
2019	563	3,000	$215,994
2020	450	2,281	$171,969
2021	449	1,998	$151,378
2022	420	1,800	$134,693
2023	388	1,651	$117,663
2024	340	1,444	$108,603

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	22	236	$35,430
2016	15	188	$8,640
2017	17	66	$1,280
2018	44	121	$5,726
2019	194	717	$34,859
2020	175	875	$57,603
2021	181	996	$51,076
2022	155	719	$43,801
2023	133	549	$23,735
2024	96	466	$26,179

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	112	$3,337
2020	N/R	82	$3,673
2021	N/R	70	$2,696
2022	N/R	67	$2,872
2023	N/R	16	$1,934
2024	N/R	40	$2,934

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	127	$142
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	231	$132
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	238	$65
90935	Hemodialysis procedure with physician evaluation	100	241	$58
81002	Urinalysis, manual test	97	188	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	16	480	$9,071
Calcium Acetate	Calcium Acetate	11	330	$622
Nifedipine Er	Nifedipine	15	870	$366
Losartan Potassium	Losartan Potassium	48	1,950	$277
Amlodipine Besylate	Amlodipine Besylate	41	2,010	$208

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	20	$2,485
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	20	$449

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$384	Bayer Healthcare Pharmaceuticals Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Franklin Lam, M.D.?

Tedicare shows public-source Medicare data for Franklin Lam, M.D. (NPI 1194166280), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Franklin Lam, M.D. have ACO affiliation data?

Franklin Lam, M.D. is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Franklin Lam, M.D.?

Franklin Lam, M.D. is linked to FOUR CORNERS NEPHROLOGY ASSOCIATES PC (billing NPI 1144327172) in the available physician profile data.

Does Franklin Lam, M.D. have Open Payments data?

Franklin Lam, M.D. has 18 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.