PAUL DEFRANCO
Internal Medicine Physician · WAYNE, NJ
Individual Active NPI 1952453839
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 561 | 5,830 | $1,696,740 | $659,127 | $513,974 |
| 2023 | 600 | 5,012 | $1,500,978 | $590,943 | $458,301 |
| 2022 | 561 | 4,868 | $1,426,968 | $526,733 | $404,814 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,033 | $115 | $90 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,026 | $80 | $62 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 589 | $165 | $128 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 273 | $116 | $92 |
| 11047 | Removal of bone, each additional 20.0 sq cm or less | 243 | $102 | $82 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 240 | $152 | $120 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 213 | $58 | $46 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 200 | $45 | $35 |
| 11044 | Removal of bone, 20.0 sq cm or less | 165 | $240 | $191 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 140 | $139 | $94 |
| G2211 | Visit 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's | 127 | $18 | $14 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 103 | $165 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 25MB08195300 | NJ |
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.