Physician
Defrances, Dominick
Defrances, Dominick was paid $27K by Medicaid between Oct 2020 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoDEFRANCES, DOMINICK
NATRONA HEIGHTS, PA 15065
NATRONA HEIGHTS, PA 15065
33aNPI1255301123assigned 01/24/2006
33bProvider typeInternal Medicine Physician
28Total paid$27K
24GClaims644
24DCodes billed5
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#480 of 1,726
Median peer was paid$6K
This provider vs. median4.1×
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 | 41 | $1K | |
| 2021 | 145 | $7K | |
| 2022 | 174 | $8K | |
| 2023 | 126 | $5K | |
| 2024incomplete | 158 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 86% | 473 | 458 | $23K |
| 93000 | 6.4% | 97 | 96 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 47 | 47 | $2K |
| 90682 | 1.6% | 13 | 13 | $431.80 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | 13 | $143.00 |
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.