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

Franco, Leonard

Franco, Leonard was paid $4K by Medicaid between Oct 2021 and Jan 2022, across 4 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 65% of everything it billed.

33Billing provider infoFRANCO, LEONARD
JAMESTOWN, NY 14701
33aNPI1174572424assigned 05/06/2006
28Total paid$4K
24GClaims195
24DCodes billed4
24AFirst – last monthOct 2021 – Jan 2022
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#1,109 of 2,113
Median peer was paid$5K
This provider vs. median0.9×

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$2.0K$4.0K2018201920202021202220232024
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
2021156$4K
202239$160.72
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 65% 41 37 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 21% 41 37 $872.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10% 85 80 $409.68
99051 4.1% 28 28 $166.00

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.