Physician
Defranco, Basil
Defranco, Basil was paid $6K by Medicaid between Jun 2022 and Nov 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 93% of everything it billed.
33Billing provider infoDEFRANCO, BASIL
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1821038415assigned 06/08/2006
33bProvider typeEmergency Medicine Physician
28Total paid$6K
24GClaims80
24DCodes billed2
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#831 of 1,211
Median peer was paid$19K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 12 | $440.00 | |
| 2023 | 42 | $3K | |
| 2024incomplete | 26 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 93% | 68 | 66 | $6K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.2% | 12 | 12 | $440.00 |
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.