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