Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Nantucket › NPI 1720041023
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
33aNPI1720041023assigned 04/08/2006
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,248$50K
20191,902$60K
20201,649$48K
20211,303$40K
20221,632$52K
2023912$44K
2024incomplete759$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.