Medicare Enrolled
Dr. John Defranco, MD
Urology Physician · Chicago Ridge, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Defranco from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Defranco
Dr. John Defranco is an urology physician in Chicago Ridge, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Defranco performed 4,904 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Defranco received a total of $6,047 from 56 pharmaceutical and/or device companies across 298 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Defranco is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 24% volume in IL
$6,047 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,904
Medicare services
Top 24% in IL for urology physician
Not available
Unique patients (not deduplicated)
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| BCG treatment for bladder cancer | 1,300 | $2 | $9 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
620 | $90 | $225 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
534 | $8 | $75 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
532 | $3 | $17 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
320 | $0 | $26 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
286 | $34 | $58 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
212 | $49 | $77 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
155 | $2 | $13 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
80 | $115 | $361 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
70 | $65 | $149 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
68 | $190 | $822 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
60 | $66 | $210 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
59 | $48 | $377 |
| Special tissue stain, multiplex A laboratory procedure using special stains to examine tissue samples. This multiplex technique allows for the analysis of multiple markers on a single slide. |
56 | $136 | $409 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
55 | $113 | $488 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
49 | $191 | $892 |
| Yeast/candida DNA test A laboratory test that uses an amplified probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
44 | $34 | $58 |
| Nucleic acid test for multiple organisms A laboratory test that uses amplified probe techniques to detect the genetic material of multiple organisms in a sample. |
44 | $69 | $117 |
| Prostate needle biopsy pathology exam Laboratory examination of prostate tissue samples obtained via needle biopsy. The pathologist inspects the tissue both visually and under a microscope to identify any abnormalities. |
40 | $290 | $1,775 |
| Injection of biodegradable material next to prostate A procedure involving the injection of a biodegradable substance into the tissue surrounding the prostate gland. |
36 | $2,377 | $7,596 |
| Implantable tissue marker, each A small marker is implanted into tissue to serve as a reference point for future medical imaging or procedures. |
34 | $134 | $565 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
26 | $67 | $560 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
24 | $91 | $228 |
| VRE nucleic acid detection test A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample. |
22 | $34 | $58 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
22 | $34 | $58 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
22 | $34 | $58 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
22 | $27 | $136 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
22 | $71 | $247 |
| CMV nucleic acid detection test A laboratory test that uses amplified probe techniques to detect cytomegalovirus (CMV) genetic material in a sample. |
20 | $34 | $58 |
| Herpes simplex virus nucleic acid test A laboratory test that uses an amplified probe technique to detect the genetic material of the herpes simplex virus. |
20 | $34 | $58 |
| Prostate radiation therapy device placement A device is placed in the prostate to facilitate radiation therapy. This procedure involves positioning the device to aid in the delivery of radiation treatment. |
17 | $68 | $600 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
17 | $12 | $74 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
16 | $8 | $13 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$6,047
Total received (2018-2024)
Avg $864/year across 7 years
Top 28% in IL for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
298
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$950
2023
$766
2022
$896
2021
$883
2020
$883
2019
$972
2018
$697
Payments by company (2024)
Sumitomo Pharma America, Inc.
$160
Dendreon Pharmaceuticals LLC
$126
ABBVIE INC.
$126
Olympus America Inc.
$119
Bayer Healthcare Pharmaceuticals Inc.
$71
Boston Scientific Corporation
$46
PFIZER INC.
$36
Janssen Biotech, Inc.
$34
Endo USA, Inc.
$33
Laborie Medical Technologies Corp.
$32
Tempus AI, Inc
$29
PROCEPT BioRobotics Corporation
$28
ConvaTec Inc.
$25
ACCORD HEALTHCARE, INC.
$23
COLOPLAST CORP
$22
Tolmar, Inc.
$21
Merck Sharp & Dohme LLC
$17
Top 3 companies account for 43.3% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$868
Janssen Biotech, Inc.
$645
Dendreon Pharmaceuticals LLC
$430
Sumitomo Pharma America, Inc.
$350
PFIZER INC.
$334
Antares Pharma, Inc.
$275
ABBVIE INC.
$258
Boston Scientific Corporation
$245
Bayer HealthCare Pharmaceuticals Inc.
$174
SRS Medical Systems, Inc.
$143
Endo Pharmaceuticals Inc.
$142
Allergan, Inc.
$130
TOLMAR Pharmaceuticals, Inc.
$129
Olympus America Inc.
$119
Ambu Inc.
$115
Merck Sharp & Dohme LLC
$109
GENZYME CORPORATION
$89
Laborie Medical Technologies Corp.
$77
Travere Therapeutics, Inc.
$77
Bayer Healthcare Pharmaceuticals Inc.
$71
Retrophin, Inc.
$68
AbbVie Inc.
$67
Myriad Genetic Laboratories, Inc.
$65
AbbVie, Inc.
$62
Teleflex LLC
$62
Foundation Medicine, Inc.
$62
Merck Sharp & Dohme Corporation
$61
Tolmar, Inc.
$55
NeoTract Inc.
$50
Myovant Sciences Inc.
$47
AstraZeneca Pharmaceuticals LP
$43
Coloplast Corp
$42
ConvaTec Inc.
$41
Cardinal Health 414 LLC
$41
IsoRay, Inc
$36
Endo USA, Inc.
$33
Avadel Specialty Pharmaceuticals, LLC
$29
Tempus AI, Inc
$29
DENTSPLY IH Inc.
$29
Amgen Inc.
$28
AngioDynamics, Inc.
$28
PROCEPT BioRobotics Corporation
$28
HealthTronics Mobile Solutions, LLC
$28
Allergan Inc.
$23
ACCORD HEALTHCARE, INC.
$23
COLOPLAST CORP
$22
UROVANT SCIENCES INC
$21
Alnylam Pharmaceuticals Inc.
$20
UROGEN PHARMA, INC.
$19
180 Medical, Inc.
$19
BOSTON SCIENTIFIC CORPORATION
$18
Aytu BioScience, Inc
$16
Accord Healthcare, Inc.
$16
Cook Incorporated
$15
Metuchen Pharmaceuticals
$13
Clarus Therapeutics Inc.
$6
Top 3 companies account for 32.1% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AQUABEAM SYSTEM · BOTOX · BOTOX THERAPEUTIC · Brachytherapy Source · CAMCEVI · COOK MEDICAL DILATION/ACCESS · ELIGARD · EMBLEM MRI S-ICD · ERLEADA · EndoSheath Technology · Erleada · FOUNDATIONONE · GEMTESA · GENERAL BPH · GENERAL BPH · GENERAL - BPH · GENTLECATH · JATENZO · JELMYTO · JEVTANA · KEYTRUDA · LUPRON DEPOT · LYNPARZA · LoFric · Lupron Depot · MYRBETRIQ · Mobile Laser Services · NOCDURNA · NanoKnife · Natesto · Noctiva · Nubeqa · ORGOVYX · OTREXUP · OXLUMO · Optilume BPH Drug Coated Balloon Catheter · Otrexup · PROVENGE · Porges Coloplast · Prolaris · Prolia · REZUM · SPACEOAR · SPEEDICATH · SUTENT · SpaceOAR VUE System - 10mL · SpeediCath · Stendra · TOVIAZ · Thiola · Tria Firm · UROLIFT · UroCuff · UroLift · UroLift System · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · iTIND System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Urology physicians in nearby ZIP areas
321
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
1.6 mi
1.6 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Defranco is a clinical cardiology specialist, with above-average Medicare volume (top 24% in IL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Defranco experienced with bcg treatment for bladder cancer?
Based on Medicare claims data, Dr. Defranco performed 1,300 bcg treatment for bladder cancer services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Defranco receive payments from pharmaceutical companies?
Yes. Dr. Defranco received a total of $6,047 from 56 companies across 298 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Defranco's costs compare to other urology physicians in Chicago Ridge?
Dr. Defranco's average Medicare payment per service is $53. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Defranco) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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