Physician

Michael Joseph Defrance, D.O.

According to 2025 Medicare claims, Michael Defrance, D.O. (NPI: 1831547819) practices orthopedic surgery in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7027. Defrance is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Defrance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 297 traditional Medicare patients, billed 1,103 HCPCS/CPT codes, and received $92,507 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 429 prescription claims across 237 beneficiaries totaling $3,564 in drug costs, led by Meloxicam (Meloxicam). Open Payments data shows 19 records totaling $820. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$46K$93K2022 Medicare payment: $18,184 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $68,115 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $92,507 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202293263$18,184
20232391,003$68,115
20242971,103$92,507

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$2.9K$5.9K2022 Drug cost: $930 (USD; Tot_Drug_Cst)2023 Drug cost: $5,867 (USD; Tot_Drug_Cst)2024 Drug cost: $3,564 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202278103$930
2023212390$5,867
2024237429$3,564

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more136198$65
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more109143$43
20610Aspiration and/or injection of fluid from large joint133196$37
73564X-ray of knee, 4 or more views123159$10
73502X-ray of hip, 2-3 views89121$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MeloxicamMeloxicam17910,845$1,285
Oxycodone HclOxycodone Hcl69415$402
Tramadol HclTramadol Hcl36242$165
AmoxicillinAmoxicillin92100$46
Clindamycin HclClindamycin Hcl1419$24

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.19$820Stryker Corporation
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 Michael Joseph Defrance, D.O.?

Tedicare shows public-source Medicare data for Michael Joseph Defrance, D.O. (NPI 1831547819), 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 Michael Joseph Defrance, D.O. have ACO affiliation data?

Michael Joseph Defrance, D.O. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Michael Joseph Defrance, D.O.?

Michael Joseph Defrance, D.O. is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does Michael Joseph Defrance, D.O. have Open Payments data?

Michael Joseph Defrance, D.O. has 19 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.