Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Lakeland › NPI 1699935320
Physician

Leon, Marlen

Leon, Marlen was paid $642K by Medicaid between Jan 2019 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.

33Billing provider infoLEON, MARLEN
LAKELAND, FL 33813
33aNPI1699935320assigned 06/16/2008
33bProvider typeOphthalmology Physician
28Total paid$642K
24GClaims13,256
24DCodes billed6
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#12 of 262
Median peer was paid$9K
This provider vs. median74×

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$10K$20K$30K2018201920202021202220232024
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
2019649$43K
2020484$28K
20211,249$74K
20224,872$178K
20232,745$130K
2024incomplete3,257$189K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 42% 2,491 1,881 $269K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 1,864 1,387 $174K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26% 2,476 1,883 $168K
92060 3.2% 2,059 1,568 $21K
92015 Determination of refractive state 1.6% 4,193 3,215 $10K
92083 <1% 173 64 $131.93

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.