Francis P. Defalco, PC
Francis P. Defalco, PC was paid $13K by Medicaid between Jul 2019 and Sep 2024, across 3 billing codes. Its largest line is 98941, Chiropractic manipulative treatment; spinal, 3-4 regions — 99% of everything it billed.
33Billing provider infoFRANCIS P. DEFALCO, PC
HOLDEN, MA 01520
HOLDEN, MA 01520
33aNPI1184944464assigned 06/09/2010
33bProvider typeChiropractor
28Total paid$13K
24GClaims1,220
24DCodes billed3
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers
Next to other Chiropractor providers in Massachusetts
Rank by total paid#195 of 336
Median peer was paid$21K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 45 | $574.92 | |
| 2022 | 106 | $1K | |
| 2023 | 767 | $7K | |
| 2024incomplete | 302 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 99% | 872 | 253 | $12K |
| 97014 | 1.4% | 204 | 93 | $172.46 | |
| 97012 | 0% | 144 | 62 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialDEFALCO, FRANCIS (PRESIDENT)