Physician
Cusumano, Leo
Cusumano, Leo was paid $652K by Medicaid between Jan 2018 and Dec 2021, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCUSUMANO, LEO
CUBA, NY 14727
CUBA, NY 14727
33aNPI1215920137assigned 08/25/2005
33bProvider typePediatrics Physician
28Total paid$652K
24GClaims19,083
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#360 of 1,983
Median peer was paid$17K
This provider vs. median38×
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 | 3,689 | $141K | |
| 2019 | 4,020 | $153K | |
| 2020 | 4,897 | $164K | |
| 2021 | 6,477 | $195K |
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 | 39% | 4,509 | 3,982 | $251K |
| 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 | 17% | 1,407 | 1,297 | $113K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,105 | 964 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 812 | 811 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 584 | 583 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 419 | 419 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 2,963 | 2,951 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 1,573 | 1,572 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 882 | 851 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 135 | 128 | $4K |
| 97802 | <1% | 448 | 447 | $2K | |
| 96150 | <1% | 180 | 180 | $2K |
20 more codes
| 96127 | <1% | 421 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 554 | $1K |
| 87430 | <1% | 217 | $1K | |
| 99460 | <1% | 12 | $609.39 | |
| 83655 | <1% | 42 | $579.50 | |
| 81002 | <1% | 267 | $496.88 | |
| 99442 | <1% | 12 | $432.02 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 95 | $397.89 |
| 92015 | Determination of refractive state | <1% | 98 | $323.05 |
| 99441 | <1% | 14 | $311.74 | |
| 85018 | <1% | 56 | $105.61 | |
| 90670 | 0% | 546 | $0.00 | |
| 90734 | 0% | 106 | $0.00 | |
| 90715 | 0% | 43 | $0.00 | |
| 90633 | 0% | 369 | $0.00 | |
| 90698 | 0% | 581 | $0.00 | |
| 90744 | 0% | 112 | $0.00 | |
| 90686 | 0% | 248 | $0.00 | |
| 90680 | 0% | 205 | $0.00 | |
| 90651 | 0% | 68 | $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.