Defrancis, Roy
Defrancis, Roy was paid $19K by Medicaid between Mar 2019 and Jun 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoDEFRANCIS, ROY
CHEEKTOWAGA, NY 14227
CHEEKTOWAGA, NY 14227
33aNPI1346275351assigned 07/11/2006
33bProvider typePrimary Podiatric Medicine Podiatrist
28Total paid$19K
24GClaims527
24DCodes billed3
24AFirst – last monthMar 2019 – Jun 2024
Compared with peers
Next to other Primary Podiatric Medicine Podiatrist providers in New York
Rank by total paid#19 of 51
Median peer was paid$11K
This provider vs. median1.7×
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 | 172 | $4K | |
| 2020 | 119 | $4K | |
| 2021 | 25 | $1K | |
| 2022 | 63 | $3K | |
| 2023 | 90 | $4K | |
| 2024incomplete | 58 | $3K |
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 | 82% | 452 | 375 | $16K |
| 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 | 17% | 63 | 55 | $3K |
| 11721 | <1% | 12 | 12 | $25.01 |
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.