Medicare Enrolled
Serene Francis, M D
Internal Medicine · Roswell, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Francis from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Francis
Serene Francis is an internal medicine specialist in Roswell, GA, with 18 years of NPI registration. Based on federal Medicare data, Francis performed 22,763.5 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Francis received a total of $8,703 from 30 pharmaceutical and/or device companies across 559 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Francis is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 1% volume in GA
$8,703 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗22,763.5
Medicare services
Top 1% in GA for internal medicine
Not available
Unique patients (not deduplicated)
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
8,075 | $33 | $273 |
| Denosumab injection (Prolia/Xgeva) | 6,840 | $18 | $63 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
1,029 | $17 | $224 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
794 | $8 | $64 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
686 | $10 | $121 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
672 | $92 | $629 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
643 | $3 | $41 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
643 | $5 | $66 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
623 | $8 | $93 |
| Immunoassay substance analysis, multiple step method A laboratory test that uses an immunoassay technique to analyze a substance. The process involves multiple steps to detect or measure the target material. |
268 | $11 | $145 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
262 | $102 | $1,884 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
169 | $58 | $942 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
168 | $64 | $471 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
150 | $29 | $368 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
147 | $13 | $172 |
| Measurement of dna antibody, single stranded | 147 | $12 | $145 |
| Screening test for antibody to noninfectious agent A laboratory test that screens for the presence of antibodies produced in response to a noninfectious agent. |
147 | $12 | $158 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
145 | $12 | $144 |
| Rheumatoid factor level | 134 | $6 | $48 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
131 | $21 | $471 |
| Rheumatoid arthritis antibody test A blood test to measure antibodies used in assessing rheumatoid arthritis. |
129 | $13 | $158 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
119 | $11 | $158 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
88 | $1 | $32 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
84 | $125 | $1,052 |
| Tuberculosis test, enumeration of t-cells A blood test that counts T-cells to help detect tuberculosis infection. |
75 | $97 | $823 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
37 | $41 | $501 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
36 | $6 | $64 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
34 | $3 | $17 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
33 | $11 | $190 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
30 | $27 | $269 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
29 | $4 | $54 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
28 | $12 | $57 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
25 | $88 | $708 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
23 | $30 | $300 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
19 | $28 | $269 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
17 | $15 | $49 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
17 | $51 | $315 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
14.5 | $5 | $64 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
14 | $7 | $48 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
14 | $16 | $37 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
13 | $137 | $785 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
12 | $26 | $300 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
36.7% high complexity
32.8% medium
30.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,703
Total received (2018-2024)
Avg $1,243/year across 7 years
Top 9% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
559
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,097
2023
$1,592
2022
$1,779
2021
$701
2020
$330
2019
$1,095
2018
$1,108
Payments by company (2024)
ABBVIE INC.
$648
Novartis Pharmaceuticals Corporation
$520
Amgen Inc.
$300
Janssen Biotech, Inc.
$190
PFIZER INC.
$89
AstraZeneca Pharmaceuticals LP
$88
E.R. Squibb & Sons, L.L.C.
$52
GlaxoSmithKline, LLC.
$48
SCILEX PHARMACEUTICALS INC.
$38
Radius Health, Inc.
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$32
UCB, Inc.
$23
Fresenius Kabi USA, LLC
$20
Lilly USA, LLC
$15
Top 3 companies account for 70.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,971
ABBVIE INC.
$1,492
Amgen Inc.
$1,139
Janssen Biotech, Inc.
$656
Horizon Therapeutics plc
$409
E.R. Squibb & Sons, L.L.C.
$374
PFIZER INC.
$363
GlaxoSmithKline, LLC.
$278
UCB, Inc.
$266
Boehringer Ingelheim Pharmaceuticals, Inc.
$261
AstraZeneca Pharmaceuticals LP
$221
AbbVie Inc.
$220
AbbVie, Inc.
$183
Radius Health, Inc.
$169
Lilly USA, LLC
$164
Genentech USA, Inc.
$115
Aurinia Pharma U.S., Inc.
$104
Horizon Pharma plc
$51
SCILEX PHARMACEUTICALS INC.
$38
GENZYME CORPORATION
$37
MEDEXUS PHARMA, INC.
$27
Flexion Therapeutics, Inc.
$25
Takeda Pharmaceuticals U.S.A., Inc.
$23
Actelion Pharmaceuticals US, Inc.
$22
Fresenius Kabi USA, LLC
$20
Mallinckrodt Hospital Products Inc.
$19
Antares Pharma, Inc.
$18
Ferring Pharmaceuticals Inc.
$13
Abbott Laboratories
$12
Janssen Scientific Affairs, LLC
$11
Top 3 companies account for 52.9% of all-time payments
Associated products mentioned in payments ›
ACTHAR · Actemra · BENLYSTA · Bimzelx · COSENTYX · Cimzia · EUFLEXXA · EVENITY · Enbrel · FORTEO · GLOPERBA · HUMIRA · Humira · KEVZARA · KRYSTEXXA · LUPKYNIS · LYRICA · OFEV · OPSUMIT · ORENCIA · OTREXUP · Otezla · PENNSAID · Proclaim IPG · Prolia · RAYOS · REMICADE · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI ARIA · SKYRIZI · STELARA · TALTZ · TAVNEOS · TREMFYA · Tavneos · Tyenne · Tymlos · Uloric · XELJANZ · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
2,144
County median income
$91,490
Nearest hospital to ZIP centroid (approximate)
WELLSTAR NORTH FULTON MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Francis is a mixed practice specialist, with above-average Medicare volume (top 1% in GA), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Francis experienced with abatacept infusion (orencia)?
Based on Medicare claims data, Francis performed 8,075 abatacept infusion (orencia) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Francis receive payments from pharmaceutical companies?
Yes. Francis received a total of $8,703 from 30 companies across 559 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Francis's costs compare to other internal medicine physicians in Roswell?
Francis's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Francis) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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