TODD FRANCONE, MD, MPH
Colon & Rectal Surgery Physician · NEWTON, MA
Individual Active NPI 1447417738
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 311 | 697 | $910,507 | $194,380 | $152,030 |
| 2023 | 300 | 716 | $872,409 | $192,213 | $150,584 |
| 2022 | 273 | 637 | $736,181 | $172,909 | $135,697 |
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 | 136 | $101 | $77 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 61 | $82 | $63 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 55 | $151 | $119 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 50 | $190 | $134 |
| 45330 | Diagnostic exam of lower portion of large bowel using a flexible endoscope | 43 | $59 | $43 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | $136 | $101 |
| 46600 | Diagnostic exam of anus using an endoscope | 33 | $45 | $35 |
| 44205 | Partial removal of small and large bowel with attachment of small and large bowel using an endoscope | 22 | $1,346 | $1,058 |
| 44213 | Partial release of large bowel and partial removal of large bowel using an endoscope | 20 | $191 | $152 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | $250 | $211 |
| 44207 | Partial removal of large bowel and reattachment to rectum using an endoscope | 19 | $1,953 | $1,556 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $140 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 254086 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Colon & Rectal Surgery Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.