Dr. Anthony Defranco, MD
2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215 • +1-246-555-5221
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Milwaukee Percentiles
NPI #1215930391 • CBSA Regional • Interventional Cardiology
Statistical peer benchmarking across WI Interventional Cardiology providers positions Dr. Anthony Defranco, MD in Milwaukee at +0.07σ (57.89th city percentile / 65.15th state percentile, 629 Medicare beneficiaries), with clinical focus spanning 53 Active CMS HCPCS Codes.
Procedural volume for Dr. Defranco is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 662 annual services, $101–$139 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 382/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 191/yr).
Direct cash-pay transparency modeling sets Dr. Defranco's baseline new-consult rate near $209.00 in Milwaukee, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Clinical background for Dr. Defranco (MD, NPI #1215930391) includes accredited doctoral training (1994, 32 yrs in practice) and virtual + in-office availability across WI.
Compared against Milwaukee, WI Interventional Cardiology peers
2,633 annual services across 629 beneficiaries
Standard deviations from WI Interventional Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 662 | 57.89th | $101 – $139 |
| 99213 | Established Preventive & Chronic Care Visit | 382 | 59.89th | $78 – $106 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 191 | 59.89th | $37 – $52 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 147 | 53.89th | $119 – $163 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 88 | 60.89th | $141 – $193 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 1,163 | 57.89th | $91 – $132 |
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Dr. Anthony Defranco, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Defranco National Provider Identifier | NPI #1215930391 (MD) | CMS NPPES Registry (53215) |
| Dr. Defranco Milwaukee CMS Volume Rank | 57.89th Pct (2,633 CMS svcs; Z +0.067σ) | CMS Medicare Part B (WI Interventional Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Milwaukee, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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