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

Leon M Mielcarek JR MD PC

Leon M Mielcarek JR MD PC was paid $11K by Medicaid between Mar 2019 and Apr 2019, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoLEON M MIELCAREK JR MD PC
MEDIA, PA 19063
33aNPI1639234412assigned 12/22/2006
33bProvider typeOphthalmology Physician
28Total paid$11K
24GClaims423
24DCodes billed5
24AFirst – last monthMar 2019 – Apr 2019
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#127 of 288
Median peer was paid$7K
This provider vs. median1.6×

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

$0$5.0K$10K2018201920202021202220232024
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
2019423$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 72 72 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 21% 97 97 $2K
V2020 Frames, purchases 20% 106 106 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 48 48 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 11% 100 100 $1K

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 officialMIELCAREK, LEON (PRESIDENT)