Physician
Leblanc, Consuelo
Leblanc, Consuelo was paid $238K by Medicaid between Jan 2018 and Mar 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoLEBLANC, CONSUELO
WESTFIELD, MA 01085
WESTFIELD, MA 01085
33aNPI1194080721assigned 07/10/2012
33bProvider typePediatrics Physician
28Total paid$238K
24GClaims7,360
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#255 of 1,273
Median peer was paid$24K
This provider vs. median9.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,164 | $37K | |
| 2019 | 721 | $23K | |
| 2020 | 352 | $13K | |
| 2021 | 2,236 | $65K | |
| 2022 | 2,232 | $79K | |
| 2023 | 655 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,716 | 1,664 | $99K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 672 | 633 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 309 | 309 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 193 | 193 | $15K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.1% | 1,614 | 1,613 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 144 | 144 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 1,123 | 1,123 | $12K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4.1% | 417 | 415 | $10K |
| 90461 | 3.8% | 269 | 269 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 39 | 39 | $4K |
| 96127 | 1.4% | 325 | 325 | $3K | |
| 99051 | <1% | 140 | 140 | $2K |
5 more codes
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.