Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Defrancisco
    Ask Trek AI about this page

    Jeffrey Defrancisco — Billing Profile & Reimbursement Data

    NPI 1568570398 · West Des Moines, IA · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Jeffrey Defrancisco — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffrey Defrancisco is a internal medicine physician provider located in West Des Moines, Iowa. This profile covers 42 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Defrancisco
    Address5950 University Ave
    CityWest Des Moines
    StateIA
    ZIP50266
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$231.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…920$80$69.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit360$120$44.2K
    J0897Injection, denosumab, 1 mg1,200$20$21.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$60$8.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…460$20$7.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.810$10$6.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$90$6.2K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$160$6.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$110$5.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$5.6K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971451901,920$20$74.1K
    992141024,690100$70$14.4K
    G0439231,15080$120$12.1K
    9923342691060$90$10.5K
    992325441,74080$60$9.3K
    9067758272020$280$8K
    992133,1634,740100$50$8K
    992154201,22030$110$6.4K
    9923935069040$80$5.1K
    992041,6531,87030$100$5K

    Showing 1–10 of 42

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jeffrey Defrancisco, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    The Iowa Clinic PCIAFamily Medicine Physician$0$5.4M
    Gary HaynesIADiagnostic Radiology Physician$675.7K$0
    Nicholas SullivanIADiagnostic Radiology Physician$566.6K$0
    Eric ScottIAVascular Surgery Physician$561.5K$0
    Ian KochIADiagnostic Radiology Physician$559.4K$0
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K
    Musab AlqasrawiIAInterventional Cardiology Physician$406.4K$0
    Lucas GrobenIACardiovascular Disease Physician$386.1K$0
    Curtis MccartyIAAnatomic Pathology & Clinical Pathology Physician$358.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Jeffrey Defrancisco, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Link AssociatesIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$83.3M
    Iowa Family Services, IncIACommunity/Behavioral Health Agency$0$9.9M
    Revell-warrington Dental PCIAPediatric Dentistry$0$9.2M
    CsaIACommunity/Behavioral Health Agency$0$8.8M
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    City Of West Des MoinesIALand Ambulance$726.2K$5.1M
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Wolfe Surgery Center, LLCIAAmbulatory Surgical Clinic/Center$4.1M$1.3M
    Iowa Home Care, LLCIAHome Health Agency$0$5.4M
    Divine Touch Of Iowa LLCIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Jeffrey Defrancisco — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa