Physician

Carmine Joseph Defusco, MD

According to 2025 Medicare claims, Carmine Defusco, MD (NPI: 1942270616) practices allergy/immunology in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Monmouth, NJ. This provider's primary affiliated billing organization is CARMINE J. DEFUSCO, M.D., P.A. (NPI: 1104073584; TIN: 222978432) and primary practice location at 07726-3281.

Defusco's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 94 traditional Medicare patients, billed 2,770 HCPCS/CPT codes, and received $48,861 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 695 prescription claims across 107 beneficiaries totaling $391,979 in drug costs, led by Zemaira (Alpha-1-Proteinase Inhibitor). Open Payments data shows 15 records totaling $244. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $100,916 to $391,979. 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$36K$72K2015 Medicare payment: $65,966 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $70,094 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $67,736 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $63,092 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $71,817 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $51,334 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $53,816 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $53,961 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $47,164 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $48,861 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151683,879$65,966
20161814,368$70,094
20171784,037$67,736
20181613,971$63,092
20191624,210$71,817
20201153,616$51,334
20211213,474$53,816
20221143,040$53,961
20231002,511$47,164
2024942,770$48,861

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$200K$400K2015 Drug cost: $100,916 (USD; Tot_Drug_Cst)2016 Drug cost: $106,593 (USD; Tot_Drug_Cst)2017 Drug cost: $138,669 (USD; Tot_Drug_Cst)2018 Drug cost: $186,749 (USD; Tot_Drug_Cst)2019 Drug cost: $162,041 (USD; Tot_Drug_Cst)2020 Drug cost: $358,273 (USD; Tot_Drug_Cst)2021 Drug cost: $360,322 (USD; Tot_Drug_Cst)2022 Drug cost: $388,213 (USD; Tot_Drug_Cst)2023 Drug cost: $400,336 (USD; Tot_Drug_Cst)2024 Drug cost: $391,979 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015115529$100,916
2016119571$106,593
2017108562$138,669
2018121647$186,749
2019134698$162,041
2020122750$358,273
2021116691$360,322
2022122682$388,213
2023106633$400,336
2024107695$391,979

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 more81151$102
95165Professional service for preparation and provision of 1 or more antigens421,890$11
95117Professional service for multiple injections of allergen40572$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ZemairaAlpha-1-Proteinase Inhibitor12336$239,388
XolairOmalizumab11318$30,826
Breztri AerosphereBudesonide/Glycopyr/Formoterol29870$18,355
Trelegy ElliptaFluticasone/Umeclidin/Vilanter15570$12,528
Breo ElliptaFluticasone/Vilanterol21630$7,865

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.15$244AstraZeneca Pharmaceuticals LP
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 Carmine Joseph Defusco, MD?

Tedicare shows public-source Medicare data for Carmine Joseph Defusco, MD (NPI 1942270616), 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 Carmine Joseph Defusco, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carmine Joseph Defusco, MD?

Carmine Joseph Defusco, MD is linked to CARMINE J. DEFUSCO, M.D., P.A. (billing NPI 1104073584) in the available physician profile data.

Does Carmine Joseph Defusco, MD have Open Payments data?

Carmine Joseph Defusco, MD has 15 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.