Physician
Difranco, Fortunato
Difranco, Fortunato was paid $334K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoDIFRANCO, FORTUNATO
OZONE PARK, NY 11417
OZONE PARK, NY 11417
33aNPI1669458295assigned 12/15/2005
33bProvider typeInternal Medicine Physician
28Total paid$334K
24GClaims45,863
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#615 of 6,049
Median peer was paid$11K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2018 | 4,872 | $47K | |
| 2019 | 8,905 | $44K | |
| 2020 | 9,422 | $64K | |
| 2021 | 8,984 | $73K | |
| 2022 | 5,166 | $48K | |
| 2023 | 5,549 | $46K | |
| 2024incomplete | 2,965 | $13K |
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 | 62% | 8,273 | 7,111 | $207K |
| 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 | 15% | 2,292 | 2,229 | $50K |
| 93000 | 4.8% | 1,445 | 1,436 | $16K | |
| 99441 | 4.0% | 687 | 639 | $13K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.0% | 742 | 733 | $13K |
| 99442 | 3.7% | 346 | 330 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 539 | 526 | $5K |
| 99497 | 1.0% | 88 | 87 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 154 | 153 | $3K |
| 3074F | <1% | 2,758 | 2,523 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 38 | 38 | $2K |
| 3079F | <1% | 1,481 | 1,356 | $2K |
30 more codes
| 3078F | <1% | 1,646 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $821.73 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $629.18 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $463.95 |
| 90688 | <1% | 29 | $445.63 | |
| 3075F | <1% | 312 | $372.50 | |
| 3077F | <1% | 139 | $335.04 | |
| 90658 | <1% | 18 | $201.37 | |
| 3080F | <1% | 81 | $200.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,262 | $57.11 |
| 1159F | <1% | 2,567 | $47.00 | |
| 1160F | <1% | 3,412 | $42.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 1,267 | $0.58 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,073 | $0.09 |
| 3044F | <1% | 484 | $0.01 | |
| 3725F | 0% | 2,725 | $0.00 | |
| 3016F | 0% | 898 | $0.00 | |
| 3288F | 0% | 334 | $0.00 | |
| 1494F | 0% | 441 | $0.00 | |
| 1124F | 0% | 62 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 15 | $0.00 |
| 3008F | 0% | 3,979 | $0.00 | |
| 1000F | 0% | 1,003 | $0.00 | |
| 1170F | 0% | 429 | $0.00 | |
| 1126F | 0% | 249 | $0.00 | |
| 3061F | 0% | 93 | $0.00 | |
| 1125F | 0% | 172 | $0.00 | |
| 4000F | 0% | 13 | $0.00 | |
| 99429 | 0% | 96 | $0.00 | |
| 3017F | 0% | 12 | $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.