Physician
OIG excluded
Francis, Desmond
Francis, Desmond was paid $7K by Medicaid between Feb 2018 and Jul 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoFRANCIS, DESMOND
ROME, NY 13440
ROME, NY 13440
33aNPI1659506111assigned 05/27/2009
33bProvider typeInternal Medicine Physician
28Total paid$7K
24GClaims253
24DCodes billed2
24AFirst – last monthFeb 2018 – Jul 2019
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#3,449 of 6,049
Median peer was paid$11K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (10/20/2020).
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 | 137 | $3K | |
| 2019 | 116 | $4K |
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 | 68% | 192 | 182 | $5K |
| 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 | 32% | 61 | 57 | $2K |
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.