NP / PA
Defrancisis, Dustin
Defrancisis, Dustin was paid $153K by Medicaid between Nov 2020 and Oct 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoDEFRANCISIS, DUSTIN
CLARION, PA 16214
CLARION, PA 16214
33aNPI1073169595assigned 08/12/2019
33bProvider typePhysician Assistant
28Total paid$153K
24GClaims11,841
24DCodes billed16
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#44 of 511
Median peer was paid$7K
This provider vs. median23×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 283 | $4K | |
| 2021 | 3,560 | $43K | |
| 2022 | 3,227 | $42K | |
| 2023 | 3,168 | $38K | |
| 2024incomplete | 1,603 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,081 | 2,026 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 905 | 882 | $15.13 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 380 | 377 | $3.44 |
| 3008F | 0% | 1,834 | 1,794 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,832 | 1,794 | $0.00 |
| 3074F | 0% | 1,127 | 1,111 | $0.00 | |
| 3079F | 0% | 408 | 404 | $0.00 | |
| 1220F | 0% | 80 | 80 | $0.00 | |
| 3075F | 0% | 208 | 207 | $0.00 | |
| 3080F | 0% | 14 | 14 | $0.00 | |
| 3725F | 0% | 1,878 | 1,832 | $0.00 | |
| 3078F | 0% | 949 | 936 | $0.00 |
4 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.