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Dr. Julie A. Means, MD

Accepting New Patients

(Julie Means-Powell, MD)

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Specializes in: Medical Oncology

East Carolina University, The Brody School of Medicine (1997)

4488 Carothers Parkway Suite 300
Franklin, TN 37067

(615) 591-4764

Dr. Julie A. Means, MD is a medical oncologist in Franklin, TN specializing in medical oncology. She graduated from East Carolina University, The Brody School of Medicine in 1997 and has 29 years of experience. Dr. Julie A. Means, MD is affiliated with Williamson Health, Ascension, Ascension Saint Thomas Hospital, Franklin Clinic and TENNESSEE ONCOLOGY PLLC.

Office Locations

4488 Carothers Parkway Suite 300
Franklin, TN 37067

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Noteworthy Medicare Patient Procedures Performed by Dr. Julie A. Means, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

serum folate test

By Affordability:

antineoplastic hormone therapy

beta-2 microglobulin test

blood count tests

cancer antigen tests

carcinoembryonic antigen test

cholesterol screening

cortisol test

diagnostic fecal occult blood test

diagnostic stool guaiac test

erythropoietin test

fecal occult blood test

immunofixation electrophoresis

immunoglobulin tests

lactate dehydrogenase test

lipid profile

magnesium test

metabolic panel

phosphorus blood test

phosphorus test

protein electrophoresis

quantitative Ig tests

reticulocyte count

sed rate

serum folate test

serum protein electrophoresis

stool guaiac test

stool tests

thyroid blood test

thyroid function tests

In 2023, among providers in related specialties within Tennessee, Dr. Julie A. Means, MD performed more serum folate test procedures for Medicare patients than 95% of them and she also had a list price for antineoplastic hormone therapy, beta-2 microglobulin (B2M) test, blood count tests, cancer antigen tests, carcinoembryonic antigen (CEA) test, cholesterol screening, cortisol test, diagnostic fecal occult blood test (FOBT), diagnostic stool guaiac test (gFOBT), erythropoietin (EPO) test, fecal occult blood test (FOBT), folic acid tests, hormone therapy, IgA test, IgD test, IgG test, IgM test, immunofixation electrophoresis (IFE), immunoglobulin tests, lactate dehydrogenase (LDH) test, lipid profile, magnesium test, metabolic panel, phosphorus blood test, phosphorus test, protein electrophoresis, quantitative Ig tests, reticulocyte count (immature red blood cell count), sed rate (ESR), serum folate test, serum protein electrophoresis (SPEP), stool guaiac test (gFOBT), stool tests, thyroid blood test, thyroid function tests, total IgA test, total IgG test, uric acid blood test, uric acid test, urinalysis, vitamin B12 test, and vitamin D test that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

complete blood count

hospital care

inpatient care

inpatient hospital care

liver function tests

In 2023, Dr. Julie A. Means, MD had a list price for complete blood count (CBC), hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), and liver function tests (LFTs) that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Tennessee. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

antineoplastic hormone therapy

blood draw

lab tests

phlebotomy for lab tests

By Affordability:

port flush

In 2012, among providers in related specialties within Tennessee, Dr. Julie A. Means, MD performed more antineoplastic hormone therapy, blood draw, lab tests, and phlebotomy for lab tests procedures for Medicare patients than 75% of them and she also had a list price for port flush that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

doctor visit	531

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

doctor visit	561
hospital care	80
inpatient care	80

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	30
Female	243

**Ethnicity**
Non-Hispanic White	229
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	74
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2013

Hypertension	60
High Cholesterol	37
Stroke	0
Ischemic Heart Disease	27
Depression	22
Chronic Kidney Disease	21
Asthma	6
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	5
Cancer	75

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

doctor visit	743
hospital care	37
inpatient care	37

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	15
Female	230

**Ethnicity**
Non-Hispanic White	213
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	70
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2014

Hypertension	57
High Cholesterol	37
Stroke	0
Ischemic Heart Disease	28
Depression	24
Chronic Kidney Disease	18
Asthma	6
Osteoperosis	9
Atrial Fibrilation	6
Heart Failure	12
Chronic Obstructive Pulmonary Disease	9
Diabetes	29
Dementia	6
Cancer	75

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2015 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

biological response modifier (BRM) therapy	133
blood draw	495
chemotherapy	133
CT scan	17
doctor visit	338
hospital care	112
inpatient care	112
lab tests	1459
minimally invasive procedures	165
preventive care	17
thoracic (chest) imaging	17
thyroid function tests	38
vaccines	17

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	184
Female	400

**Ethnicity**
Non-Hispanic White	546
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	310
From 75 to 84	156
85 and over	50
Less than 65	68

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2015

Hypertension	62
High Cholesterol	46
Stroke	4
Ischemic Heart Disease	35
Depression	24
Chronic Kidney Disease	30
Asthma	11
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	17
Diabetes	26
Dementia	7
Cancer	57

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2016 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

abdominal imaging	52
biological response modifier (BRM) therapy	191
blood draw	821
chemotherapy	191
CT scan	99
doctor visit	599
hospital care	164
inpatient care	164
lab tests	2577
minimally invasive procedures	266
pelvic imaging	52
preventive care	23
thoracic (chest) imaging	47
thyroid function tests	82
vaccines	23

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	116
Female	226

**Ethnicity**
Non-Hispanic White	303
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	157
From 75 to 84	114
85 and over	35
Less than 65	36

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2016

Hypertension	65
High Cholesterol	46
Stroke	6
Ischemic Heart Disease	34
Depression	23
Chronic Kidney Disease	38
Asthma	18
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	16
Diabetes	26
Dementia	10
Cancer	53

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2017 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

abdominal imaging	27
biological response modifier (BRM) therapy	238
blood draw	778
chemotherapy	238
CT scan	54
doctor visit	570
hospital care	111
inpatient care	111
lab tests	2808
minimally invasive procedures	285
pelvic imaging	27
thoracic (chest) imaging	27
thyroid function tests	127

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	125
Female	223

**Ethnicity**
Non-Hispanic White	309
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	180
From 75 to 84	93
85 and over	38
Less than 65	37

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2017

Hypertension	66
High Cholesterol	41
Stroke	5
Ischemic Heart Disease	32
Depression	20
Chronic Kidney Disease	37
Asthma	5
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	18
Diabetes	29
Dementia	8
Cancer	55

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2018 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

abdominal imaging	60
biological response modifier (BRM) therapy	244
blood draw	891
chemotherapy	244
CT scan	121
doctor visit	635
hospital care	115
inpatient care	115
lab tests	3244
minimally invasive procedures	307
pelvic imaging	60
preventive care	22
thoracic (chest) imaging	61
thyroid function tests	176
vaccines	22

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	125
Female	291

**Ethnicity**
Non-Hispanic White	369
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	207
From 75 to 84	119
85 and over	53
Less than 65	37

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2018

Hypertension	66
High Cholesterol	47
Stroke	5
Ischemic Heart Disease	31
Depression	23
Chronic Kidney Disease	36
Asthma	5
Osteoperosis	11
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	10
Cancer	53

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2019 were lab tests, blood draw, minimally invasive procedures and thyroid function tests.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

biological response modifier (BRM) therapy	171
blood draw	696
chemotherapy	171
doctor visit	720
hospital care	95
inpatient care	95
lab tests	3453
minimally invasive procedures	229
preventive care	16
thyroid function tests	183
vaccines	16

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	138
Female	359

**Ethnicity**
Non-Hispanic White	448
Black	27
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	152
85 and over	58
Less than 65	45

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2019

Hypertension	66
High Cholesterol	48
Stroke	4
Ischemic Heart Disease	30
Depression	23
Chronic Kidney Disease	35
Asthma	8
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	29
Dementia	7
Cancer	49

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2020 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

biological response modifier (BRM) therapy	251
blood draw	1243
chemotherapy	251
doctor visit	966
hospital care	68
inpatient care	68
lab tests	5402
minimally invasive procedures	341
port flush	52
preventive care	18
thyroid function tests	217
vaccines	18

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	145
Female	392

**Ethnicity**
Non-Hispanic White	494
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	289
From 75 to 84	157
85 and over	62
Less than 65	29

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2020

Hypertension	64
High Cholesterol	50
Stroke	3
Ischemic Heart Disease	30
Depression	22
Chronic Kidney Disease	37
Asthma	6
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	7
Cancer	52

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2021 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

biological response modifier (BRM) therapy	255
blood draw	1443
chemotherapy	255
doctor visit	1004
hormone therapy	57
hospital care	32
inpatient care	32
lab tests	5570
minimally invasive procedures	364
port flush	34
preventive care	21
thyroid function tests	193

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	171
Female	418

**Ethnicity**
Non-Hispanic White	537
Black	22
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	317
From 75 to 84	196
85 and over	41
Less than 65	35

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2021

Hypertension	60
High Cholesterol	51
Stroke	4
Ischemic Heart Disease	29
Depression	24
Chronic Kidney Disease	32
Asthma	7
Osteoperosis	17
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	9
Diabetes	23
Dementia	4
Cancer	50

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN during 2022 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

biological response modifier (BRM) therapy	320
blood draw	1579
chemotherapy	320
doctor visit	1062
hormone therapy	65
hospital care	48
inpatient care	48
lab tests	6000
minimally invasive procedures	450
port flush	36
preventive care	12
thyroid function tests	178

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	161
Female	466

**Ethnicity**
Non-Hispanic White	576
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	316
From 75 to 84	225
85 and over	55
Less than 65	31

Conditions of Medicare patients treated by Dr. Julie A. Means, MD in 2022

Hypertension	69
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	22
Depression	23
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	24
Atrial Fibrilation	15
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	3
Cancer	54

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Julie A. Means, MD for Medicare patients.

The highest averages for the top procedures that Dr. Julie A. Means, MD treated as a medical oncologist in Franklin, TN were lab tests, blood draw, minimally invasive procedures and chemotherapy.

abdominal imaging	46
biological response modifier (BRM) therapy	225
blood draw	993
chemotherapy	225
CT scan	72
doctor visit	702
hormone therapy	61
hospital care	86
inpatient care	86
lab tests	3814
minimally invasive procedures	300
pelvic imaging	46
preventive care	18
thoracic (chest) imaging	38
thyroid function tests	149
vaccines	19

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Julie A. Means, MD.

**Gender**
Male	110
Female	295

**Ethnicity**
Black / African American	15
Asian / Pacific Islander	0
Non-Hispanic White	365
Native American / Alaskan Native	0
Hispanic	0
Other	2

**Age**
75 to 84	123
85 and over	35
Less than 65	28
65 to 74	206

Average of Total of Conditions of Medicare patients treated by Dr. Julie A. Means, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Julie A. Means, MD treated were hypertension, cancer, high cholesterol and chronic kidney disease.

Hypertension	57
High Cholesterol	42
Stroke	3
Ischemic Heart Disease	27
Depression	20
Chronic Kidney Disease	28
Asthma	7
Osteoporosis	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	24
Atrial Fibrillation	9
Dementia	6
Cancer	52

Education & Training

Dr. Julie A. Means, MD graduated from East Carolina University, The Brody School of Medicine in 1997. She completed residency at Vanderbilt University Medical Center. She is certified by the The American Board of Internal Medicine - Internal Medicine The American Board of Internal Medicine - Medical Oncology and has a state license in Tennessee.

Medical School: East Carolina University, The Brody School of Medicine (1997)

Residency: Vanderbilt University Medical Center

Board Certification: The American Board of Internal Medicine - Internal Medicine The American Board of Internal Medicine - Medical Oncology

Licensed In: Tennessee

Affiliations & Hospitals

Dr. Julie A. Means, MD is associated with these hospitals and organizations:

Williamson Health

Ascension

Ascension Saint Thomas Hospital

Franklin Clinic

TENNESSEE ONCOLOGY PLLC

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General Payments

These charts describe general payments received by Dr. Julie A. Means, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Amgen Inc.	$1,541 XGEVA $901	Vectibix $381	Kyprolis $213	Neulasta $45
E.R. Squibb & Sons, L.L.C.	$1,402 OPDIVO $1,014	EMPLICITI $143	ELIQUIS $76	ERBITUX $32	SPRYCEL $28	Other $109
TerSera Therapeutics LLC	$1,197 ZOLADEX $1,197
Genentech USA, Inc.	$1,134 TECENTRIQ $305	TARCEVA $239	Perjeta $177	Venclexta $92	Gazyva $69	Other $251
Merck Sharp & Dohme Corporation	$1,086 KEYTRUDA $838	Lenvima $126	LYNPARZA $86	$36
Other	$10,065 IMBRUVICA $317	XTANDI $303	KISQALI $295	TAGRISSO $291	JEVTANA $250	Other $8,609

**Types of Payments**
Food and Beverage	$15,096
Consulting Fee	$1,000
Education	$329

Research Payments

Dr. Julie A. Means, MD has received 51 research payments totaling $397,074.

Biography

Dr. Julie Means' areas of specialization are medical oncology and hematology (blood disorders). She is professionally affiliated with Ascension and Williamson Health. Yext reports that she is accepting new patients at her office in Franklin, TN. Dr. Means studied medicine at East Carolina University, The Brody School of Medicine. Dr. Means trained at Vanderbilt University Medical Center for residency.