Physician

Anthony John Defranzo, MD

According to 2025 Medicare claims, Anthony Defranzo, MD (NPI: 1073598017) practices plastic and reconstructive surgery in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27103-1319. Defranzo is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Defranzo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 146 traditional Medicare patients, billed 331 HCPCS/CPT codes, and received $17,573 in Medicare payments. The top billing code was 99202 (New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more). Part D data shows 65 prescription claims across 44 beneficiaries totaling $1,206 in drug costs, led by Imiquimod (Imiquimod). 2023 DME data shows 11 claims. Open Payments data shows 4 records totaling $1,467. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $112,571 to $17,573. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $7,827 to $1,206. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $9,575 and ending at $7,714.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$70K$139K2015 Medicare payment: $112,571 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $139,380 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $122,691 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $94,744 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $70,651 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $72,269 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $71,035 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $77,084 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $26,827 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $17,573 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152401,842$112,571
20163021,205$139,380
20173061,041$122,691
2018242831$94,744
2019181563$70,651
2020145610$72,269
2021158635$71,035
2022146560$77,084
2023198610$26,827
2024146331$17,573

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$4.1K$8.2K2015 Drug cost: $7,827 (USD; Tot_Drug_Cst)2016 Drug cost: $8,245 (USD; Tot_Drug_Cst)2017 Drug cost: $5,819 (USD; Tot_Drug_Cst)2018 Drug cost: $3,913 (USD; Tot_Drug_Cst)2019 Drug cost: $2,749 (USD; Tot_Drug_Cst)2020 Drug cost: $1,936 (USD; Tot_Drug_Cst)2021 Drug cost: $1,556 (USD; Tot_Drug_Cst)2022 Drug cost: $2,547 (USD; Tot_Drug_Cst)2023 Drug cost: $4,156 (USD; Tot_Drug_Cst)2024 Drug cost: $1,206 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015145336$7,827
2016149346$8,245
2017168367$5,819
2018124267$3,913
201973123$2,749
20204060$1,936
20215795$1,556
202273116$2,547
20235685$4,156
20244465$1,206

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$7.9K$16K2017 Medicare payment: $15,864 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,325 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $14,274 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $440 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
20175160$15,864
2018N/R11$2,325
20194243$14,274
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$440
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more1414$45
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2527$42
11042Removal of skin and tissue, 20.0 sq cm or less3238$39
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more79101$33

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ImiquimodImiquimod26602$495

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$1,467Becton, Dickinson and Company
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Anthony John Defranzo, MD?

Tedicare shows public-source Medicare data for Anthony John Defranzo, MD (NPI 1073598017), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Anthony John Defranzo, MD have ACO affiliation data?

Anthony John Defranzo, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Anthony John Defranzo, MD?

Anthony John Defranzo, MD is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Anthony John Defranzo, MD have Open Payments data?

Anthony John Defranzo, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.