Physician
Lepore, Timothy
Lepore, Timothy was paid $338K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoLEPORE, TIMOTHY
NANTUCKET, MA 02554
NANTUCKET, MA 02554
33aNPI1720041023assigned 04/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$338K
24GClaims9,405
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#60 of 744
Median peer was paid$10K
This provider vs. median32×
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 | 1,248 | $50K | |
| 2019 | 1,902 | $60K | |
| 2020 | 1,649 | $48K | |
| 2021 | 1,303 | $40K | |
| 2022 | 1,632 | $52K | |
| 2023 | 912 | $44K | |
| 2024incomplete | 759 | $42K |
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 | 94% | 5,881 | 4,141 | $319K |
| 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 | 4.2% | 172 | 150 | $14K |
| 80305 | <1% | 1,832 | 1,320 | $2K | |
| 96127 | <1% | 1,423 | 964 | $1K | |
| 90674 | <1% | 14 | 14 | $409.22 | |
| 90756 | <1% | 12 | 12 | $213.28 | |
| 36410 | <1% | 45 | 37 | $40.44 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | 26 | $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.