Physician

James Franz, DO

According to 2025 Medicare claims, James Franz, DO (NPI: 1467896100) practices family practice in the Canton-Massillon, OH market, with the plurality of this provider's patient population coming from Stark, OH. This provider's primary affiliated billing organization is PINNACLE CARE PROVIDERS, LLC (NPI: 1578799417; TIN: 27-0204369) and primary practice location at 44708-1423.

Franz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 786 traditional Medicare patients, billed 4,207 HCPCS/CPT codes, and received $303,439 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 44,039 prescription claims across 1,243 beneficiaries totaling $3,045,190 in drug costs, led by Eliquis (Apixaban). DME data shows 434 claims. No Open Payments records. 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 risen steadily, from $42,698 to $3,045,190. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $1,215 to $27,704.

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	638	2,212	$148,221
2017	931	6,604	$413,350
2018	893	5,698	$387,675
2019	798	5,318	$356,745
2020	851	5,219	$344,717
2021	800	5,104	$332,311
2022	858	4,711	$306,956
2023	797	4,411	$319,983
2024	786	4,207	$303,439

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	53	511	$42,698
2016	338	2,228	$96,559
2017	622	11,543	$676,266
2018	591	17,123	$837,503
2019	734	25,709	$1,429,043
2020	820	27,977	$1,753,240
2021	952	37,756	$2,419,006
2022	1,121	36,257	$2,362,944
2023	1,181	38,723	$2,476,386
2024	1,243	44,039	$3,045,190

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	68	254	$11,191
2018	130	780	$14,321
2019	81	558	$9,425
2020	87	506	$11,263
2021	106	765	$38,774
2022	181	981	$46,880
2023	87	1,015	$41,152
2024	37	434	$13,014

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	209	253	$135
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	295	317	$97
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	267	659	$79
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	411	2,164	$59
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	176	324	$53

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	2,015	32,689	$687,351
Nuplazid	Pimavanserin Tartrate	39	754	$132,144
Xarelto	Rivaroxaban	299	5,071	$103,367
Humira(Cf) Pen	Adalimumab	12	294	$96,064
Jardiance	Empagliflozin	263	4,249	$93,530

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
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	18	84	$3,882
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	41	$2,808
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$2,667
K0001	Standard wheelchair	Y	19	86	$1,500
K0003	Lightweight wheelchair	Y	N/R	20	$539

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for James Franz, DO?

Tedicare shows public-source Medicare data for James Franz, DO (NPI 1467896100), 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 James Franz, DO have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James Franz, DO?

James Franz, DO is linked to PINNACLE CARE PROVIDERS, LLC (billing NPI 1578799417) in the available physician profile data.

Does James Franz, DO have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.