JOHN DEFRANCISCO, M.D.
Gastroenterology Physician · BURNT HILLS, NY
Individual Active NPI 1326040411
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 374 | 4,280 | $318,753 | $154,024 | $120,934 |
| 2023 | 418 | 3,638 | $329,586 | $161,743 | $127,874 |
| 2022 | 439 | 2,037 | $290,551 | $134,732 | $104,774 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 123 | $115 | $70 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 116 | $155 | $128 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 71 | $113 | $81 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 46 | $149 | $109 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 38 | $222 | $185 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 24 | $5 | $4 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 23 | $160 | $160 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 18 | $160 | $160 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | $106 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 231133 | NY |
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.