Physician

Thomas A. Franco, MD

According to 2025 Medicare claims, Thomas Franco, MD (NPI: 1700949880) practices physical medicine and rehabilitation in the Omaha, NE-IA market, with the plurality of this provider's patient population coming from Douglas, NE. This provider's primary affiliated billing organization is PHYSICIANS CLINIC INC (NPI: 1821049156; TIN: 470687317) and primary practice location at 68118-2049. Franco is affiliated with the Nebraska Health Network, LLC (ACO ID: A3273), participating under the MSSP model.

Franco's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 255 traditional Medicare patients, billed 81,459 HCPCS/CPT codes, and received $514,329 in Medicare payments. The top billing code was 95912 (Nerve conduction, 11-12 studies). Part D data shows 672 prescription claims across 72 beneficiaries totaling $61,095 in drug costs, led by Nucynta Er (Tapentadol Hcl). 2020 DME data shows 11 claims. Open Payments data shows 13 records totaling $282. 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 has moved from a lower plateau to a higher plateau, from $174,881 to $514,329. Similarly, Part D prescription costs have risen steadily, from $42,367 to $61,095. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,014 to $0.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$279K$558K2015 Medicare payment: $174,881 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $278,364 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $411,288 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $529,321 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $500,198 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $484,829 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $557,763 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $549,082 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $541,038 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $514,329 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201523726,257$174,881
201631342,000$278,364
201733065,951$411,288
201835986,481$529,321
201931883,554$500,198
202024182,828$484,829
202127691,077$557,763
202232389,769$549,082
202329188,524$541,038
202425581,459$514,329

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$36K$73K2015 Drug cost: $42,367 (USD; Tot_Drug_Cst)2016 Drug cost: $31,157 (USD; Tot_Drug_Cst)2017 Drug cost: $39,820 (USD; Tot_Drug_Cst)2018 Drug cost: $68,328 (USD; Tot_Drug_Cst)2019 Drug cost: $72,680 (USD; Tot_Drug_Cst)2020 Drug cost: $64,103 (USD; Tot_Drug_Cst)2021 Drug cost: $54,797 (USD; Tot_Drug_Cst)2022 Drug cost: $64,369 (USD; Tot_Drug_Cst)2023 Drug cost: $65,782 (USD; Tot_Drug_Cst)2024 Drug cost: $61,095 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201597691$42,367
201673601$31,157
201786621$39,820
2018100743$68,328
2019100713$72,680
202077637$64,103
202171597$54,797
202261604$64,369
202367647$65,782
202472672$61,095

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.9K$3.8K2015 Medicare payment: $3,787 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $140 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,237 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,050 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R15$3,787
2016N/RN/RN/R
2017N/R18$140
2018N/RN/RN/R
2019N/R23$1,237
2020N/R11$1,050
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
95912Nerve conduction, 11-12 studies5959$180
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more83261$91
95886Needle measurement of electrical activity in arm or leg muscles, complete study162250$67
95873Electrical stimulation for guidance with injection of chemical for paralysis of nerve muscle53185$48
J0585Injection, onabotulinumtoxina, 1 unit5879,800$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Nucynta ErTapentadol Hcl11330$23,919
Xtampza ErOxycodone Myristate12360$17,163
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen24723$2,640
BaclofenBaclofen1145,043$2,074
FentanylFentanyl12363$1,711

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$282BIOTRONIK NRO, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Thomas A. Franco, MD?

Tedicare shows public-source Medicare data for Thomas A. Franco, MD (NPI 1700949880), 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 Thomas A. Franco, MD have ACO affiliation data?

Thomas A. Franco, MD is shown with ACO affiliation data for Nebraska Health Network, LLC (MSSP, ACO ID A3273).

What billing organization is linked to Thomas A. Franco, MD?

Thomas A. Franco, MD is linked to PHYSICIANS CLINIC INC (billing NPI 1821049156) in the available physician profile data.

Does Thomas A. Franco, MD have Open Payments data?

Thomas A. Franco, MD has 13 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.