Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Walter Leon, M.D., P.A.

Walter Leon, M.D., P.A. was paid $6.50M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoWALTER LEON, M.D., P.A.
ARLINGTON, TX 76015
33aNPI1134345846assigned 04/18/2007
33bProvider typePediatrics Physician
28Total paid$6.50M
24GClaims256,428
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#55 of 1,136
Median peer was paid$329K
This provider vs. median20×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,343$41K
20191,997$45K
202012,596$254K
202165,170$1.60M
202271,437$1.83M
202363,154$1.66M
2024incomplete40,731$1.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 30,790 29,784 $1.15M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 11,526 11,494 $918K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 8,220 8,198 $696K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10% 8,731 8,702 $677K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10% 12,696 12,398 $667K
90460 Immunization administration through 18 years of age via any route, first or only component 8.3% 52,156 22,883 $543K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.2% 4,475 4,414 $403K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.4% 6,657 6,579 $289K
99429 3.6% 7,208 7,186 $237K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.1% 10,565 7,217 $201K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.9% 14,544 11,333 $121K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 8,672 8,534 $119K
69 more codes
99381 1.2% 953 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,215 $55K
90461 <1% 14,007 $54K
54150 <1% 535 $48K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,072 $42K
99460 <1% 328 $25K
0071A <1% 585 $23K
99238 Hospital discharge day management, 30 minutes or less <1% 364 $22K
0072A <1% 487 $19K
0001A <1% 313 $12K
96160 <1% 6,360 $12K
87807 <1% 1,077 $12K
0002A <1% 293 $12K
0154A <1% 211 $8K
0074A <1% 198 $8K
0054A <1% 199 $8K
0081A <1% 172 $7K
90480 <1% 204 $6K
0082A <1% 142 $6K
0124A <1% 137 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 410 $5K
94010 <1% 84 $2K
96380 <1% 83 $2K
99215 Doctor's office visit, returning patient (complex) <1% 12 $957.00
0083A <1% 16 $640.00
S8301 Infection control supplies, not otherwise specified <1% 46 $516.00
0004A <1% 12 $480.00
90674 <1% 2,392 $373.27
90651 <1% 1,031 $244.67
90619 <1% 568 $146.45
90472 Immunization administration, each additional vaccine (list separately) <1% 14 $109.76
90686 <1% 9,952 $71.83
85018 <1% 14 $28.74
90697 <1% 2,886 $16.88
91307 <1% 1,634 $6.67
91308 <1% 619 $3.44
90671 <1% 253 $2.51
90677 <1% 456 $2.30
91305 <1% 304 $1.30
91315 <1% 240 $0.92
91312 <1% 153 $0.72
91300 <1% 815 $0.58
90381 <1% 41 $0.29
91318 <1% 17 $0.12
91319 <1% 14 $0.10
91317 <1% 13 $0.07
90380 <1% 16 $0.07
91321 <1% 15 $0.01
90647 0% 648 $0.00
90716 0% 504 $0.00
90698 0% 1,577 $0.00
90680 0% 4,264 $0.00
90696 0% 392 $0.00
96127 0% 1,448 $0.00
90744 0% 946 $0.00
36416 0% 14 $0.00
36415 Collection of venous blood by venipuncture 0% 66 $0.00
90670 0% 6,153 $0.00
90633 0% 2,905 $0.00
90710 0% 581 $0.00
90700 0% 883 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 2,882 $0.00
90661 0% 842 $0.00
90715 0% 118 $0.00
90734 0% 107 $0.00
90621 0% 240 $0.00
90707 0% 447 $0.00
90672 0% 180 $0.00
90713 0% 29 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGARDNER, SHELLEY (OFFICE MANAGER)