Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Altoona › NPI 1306864400
Physician

Defrancisco, Lance

Defrancisco, Lance was paid $4K by Medicaid between Nov 2020 and Mar 2022, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoDEFRANCISCO, LANCE
ALTOONA, PA 16602
33aNPI1306864400assigned 07/17/2006
28Total paid$4K
24GClaims105
24DCodes billed1
24AFirst – last monthNov 2020 – Mar 2022
Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#96 of 178
Median peer was paid$6K
This provider vs. median0.8×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
202029$1K
202136$2K
202240$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 105 105 $4K

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.