What is Paul Defranco's specialty?

Paul Defranco (NPI 1952453839) is a Medicare-billing provider whose primary specialty is Internal Medicine in Wayne, NJ.

Where does Paul Defranco practice?

Paul Defranco practices in Wayne, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1952453839.

How much does Medicare pay Paul Defranco?

Paul Defranco (NPI 1952453839) received approximately $514K in total Medicare Part B payments, serving 561 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1952453839

Paul Defranco

PRACTICENORTH HALEDON MEDICAL, PCSee all providers at this practice →

Internal MedicineWayne, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,352

Unique beneficiaries

—

Total services

5,649

Distinct HCPCS

Medicare payment

$500K

Peer benchmark

Total Medicare services vs. 3,616 Internal Medicine providers in NJ — top quintile (cohort median 895).

PRESCRIBING · PART D · 2024

Total Rx claims

2,016

Beneficiaries

—

Total drug cost

$101K

Distinct drugs

Brand share

18.0%

Top prescribed drugs

Mupirocin194 claims

Atorvastatin Calcium151 claims

Levothyroxine Sodium91 claims

Ammonium Lactate90 claims

Collagenase Clostridium Hist.73 claims

QUALITY · MIPS · 2024

Final MIPS score

82.9

Quality

82.0

Cost

69.6

Improvement activities

20.0

Promoting interop.

95.0

Payment adjustment

0.33%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Paul Defranco's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 86 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Aculabs Inc Clinical Laboratory · East Brunswick, NJ	208	2,990
521 PINE BROOK OPERATING, LLC	148	817
Anthony Barravecchio Family Practice · Wayne, NJ	128	1,795
Atlantic Ambulance Corp. Ambulance Service Provider · Livingston, NJ	121	557
Margaret Karcnik Physical Medicine and Rehabilitation · Wayne, NJ	87	1,613
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	69	224
Patrick Hines Diagnostic Radiology · Nutley, NJ	66	320
HERNANDEZ, SILVIA	64	761
Maripat Alger Cottone Nurse Practitioner · Wayne, NJ	52	152
Ryul Kim Physical Medicine and Rehabilitation · Passaic, NJ	51	609
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	50	169
GIRARDY, JAMES	48	168

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history