JOEL FRANCO, M.D.
3692 E SUNSET RD, LAS VEGAS, NV 89120
NPI Number
1891108452
Practice location · View on Google Maps
Total Medicaid Payments
$42,936
-58% vs specialty average
Patients Seen
1,863
Total Claims
2,122
$ Per Patient
$23
Specialty avg: $56
Specialty Rank
#10 of 23
Otolaryngology providers in Nevada
Peer Average
$101,161
Average total for Otolaryngology
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2020 | $837 | |
| 2021 | $8,831 | |
| 2022 | $15,702 | |
| 2023 | $11,656 | |
| 2024 | $5,910 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99203 | New patient office visit — moderate problem | 603 | $24,317 | 56.6% | $40 |
| 99213 | Office visit for a simple problem (established patient) | 572 | $17,190 | 40.0% | $30 |
| 31231 | Sinus surgery | 13 | $1,177 | 2.7% | $91 |
| 69210 | Ear wax removal | 17 | $251 | 0.6% | $15 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 184 | $1 | 0.0% | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 249 | $0 | 0.0% | $0 |
| 3725F | Medical service or procedure | 284 | $0 | 0.0% | $0 |
| 3008F | Medical service or procedure | 127 | $0 | 0.0% | $0 |
| 1036F | Medical service or procedure | 73 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.