Leon, Marie

Leon, Marie was paid $78K by Medicaid between Mar 2019 and Jul 2020, across 5 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 46% of everything it billed.

33Billing provider infoLEON, MARIE
SPRINGFIELD, MA 01151

33aNPI1215333117assigned 11/05/2014

33bProvider typeNurse Practitioner

28Total paid$78K

24GClaims1,509

24DCodes billed5

24AFirst – last monthMar 2019 – Jul 2020

Compared with peers

Next to other Nurse Practitioner providers in Massachusetts

Rank by total paid#26 of 172

Median peer was paid$8K

This provider vs. median9.6×

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
2019	875	$43K
2020	634	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	46%	746	292	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	471	242	$27K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	19%	250	116	$15K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	20	12	$313.90
81025		<1%	22	12	$143.44

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.