Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1659506111assigned 05/27/2009
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018137$3K
2019116$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.