Defranc, Jeffrey
Defranc, Jeffrey was paid $250K by Medicaid between Oct 2020 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.
33Billing provider infoDEFRANC, JEFFREY
ERIE, PA 16550
ERIE, PA 16550
33aNPI1720370356assigned 05/16/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$250K
24GClaims4,149
24DCodes billed4
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#29 of 651
Median peer was paid$8K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2020 | 181 | $9K | |
| 2021 | 1,267 | $60K | |
| 2022 | 1,076 | $51K | |
| 2023 | 997 | $76K | |
| 2024incomplete | 628 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 46% | 1,792 | 1,745 | $114K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 1,280 | 1,258 | $90K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 1,009 | 998 | $43K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 68 | 68 | $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.