Physician
Defrancesch, Fred
Defrancesch, Fred was paid $3K by Medicaid between Feb 2023 and Jan 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 80% of everything it billed.
33Billing provider infoDEFRANCESCH, FRED
METAIRIE, LA 70002
METAIRIE, LA 70002
33aNPI1558460261assigned 09/21/2006
33bProvider typeSpinal Cord Injury Medicine Physician
28Total paid$3K
24GClaims97
24DCodes billed3
24AFirst – last monthFeb 2023 – Jan 2024
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 | |
|---|---|---|---|
| 2023 | 45 | $2K | |
| 2024incomplete | 52 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 80% | 60 | 50 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 20% | 21 | 21 | $655.38 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 16 | 16 | $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.