Francemone, Charles

Francemone, Charles was paid $11K by Medicaid between Aug 2020 and Jan 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoFRANCEMONE, CHARLES
WILLIAMSVILLE, NY 14221

33aNPI1346231693assigned 11/03/2005

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims331

24DCodes billed5

24AFirst – last monthAug 2020 – Jan 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,079 of 1,983

Median peer was paid$17K

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
2020	46	$1K
2021	94	$1K
2022	145	$5K
2023	29	$2K
2024incomplete	17	$1K

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	76%	150	146	$8K
90460	Immunization administration through 18 years of age via any route, first or only component	16%	49	49	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	8.3%	54	54	$903.84
99051		<1%	14	14	$0.13
99072		0%	64	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.