Defalco, Jane

Defalco, Jane was paid $4K by Medicaid between Jan 2018 and Nov 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoDEFALCO, JANE
CHESTERFIELD, MO 63017

33aNPI1336272632assigned 03/14/2007

33bProvider typePediatrics Physician

28Total paid$4K

24GClaims117

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#840 of 992

Median peer was paid$40K

This provider vs. median0.1×

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
2018	88	$3K
2019	29	$828.31

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	85	78	$4K
90686		5.1%	32	32	$213.82

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.