CHRISTOPHER DEFALCO, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · INDIANAPOLIS, IN
Individual Active NPI 1306101092
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 354 | 7,477 | $488,644 | $196,371 | $149,296 |
| 2023 | 362 | 1,540 | $482,723 | $195,712 | $147,505 |
| 2022 | 314 | 1,544 | $408,690 | $172,125 | $130,302 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 6,160 | $0 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 165 | $64 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 145 | $118 | $82 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 139 | $84 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 131 | $153 | $110 |
| 73030 | X-ray of shoulder, minimum of 2 views | 99 | $36 | $26 |
| 73564 | X-ray of knee, 4 or more views | 86 | $44 | $30 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $102 | $70 |
| 27447 | Replacement of knee joint, both sides of knee | 23 | $1,152 | $908 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | $120 | $92 |
| 73562 | X-ray of knee, 3 views | 22 | $37 | $27 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 20 | $6 | $4 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 01079933A | IN |
| Orthopaedic Surgery Physician | 207X00000X | 01079933A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.