PAUL DEFRANCO

Internal Medicine Physician · WAYNE, NJ

Individual Active NPI 1952453839

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245615,830$1,696,740$659,127$513,974
20236005,012$1,500,978$590,943$458,301
20225614,868$1,426,968$526,733$404,814

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,033$115$90
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more1,026$80$62
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes589$165$128
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes273$116$92
11047Removal of bone, each additional 20.0 sq cm or less243$102$82
11043Removal of muscle and/or tissue, 20.0 sq cm or less240$152$120
11046Removal of muscle and/or tissue, each additional 20.0 sq cm or less213$58$46
11042Removal of skin and tissue, 20.0 sq cm or less200$45$35
11044Removal of bone, 20.0 sq cm or less165$240$191
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more140$139$94
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's127$18$14
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes103$165$128

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X25MB08195300NJ

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.