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

Leconte Orthopedics, PLLC

Leconte Orthopedics, PLLC was paid $3.32M by Medicaid between Jan 2018 and Aug 2019, across 64 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 23% of everything it billed.

33Billing provider infoLECONTE ORTHOPEDICS, PLLC
SEVIERVILLE, TN 37862
33aNPI1730371865assigned 08/13/2007
28Total paid$3.32M
24GClaims118,833
24DCodes billed64
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#19 of 754
Median peer was paid$34K
This provider vs. median98×

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$200K$400K$600K2018201920202021202220232024
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
201893,412$2.74M
201925,421$575K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 23% 8,620 6,472 $758K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 36,794 26,917 $733K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 18% 4,344 2,964 $606K
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 13% 16,191 13,075 $419K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8.7% 9,188 6,945 $287K
77002 1.5% 2,179 1,473 $50K
20610 1.3% 1,346 906 $42K
72110 1.2% 2,467 2,025 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.0% 2,939 2,162 $35K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.0% 802 586 $34K
71046 Radiologic examination, chest; 2 views <1% 2,280 1,838 $26K
64493 <1% 665 379 $21K
52 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,867 $18K
72050 <1% 1,096 $17K
20605 <1% 525 $14K
20552 <1% 745 $14K
99203 Doctor's office visit, new patient (routine) <1% 352 $14K
95943 <1% 264 $14K
81025 <1% 3,032 $13K
27096 <1% 53 $12K
82962 <1% 7,809 $11K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 382 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,091 $10K
94060 <1% 457 $10K
93000 <1% 1,008 $10K
72070 <1% 854 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 946 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 980 $8K
95923 <1% 264 $8K
73562 <1% 698 $8K
64494 <1% 665 $7K
64495 <1% 632 $7K
73030 <1% 475 $6K
27370 <1% 55 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 24 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 755 $3K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 17 $2K
73580 <1% 55 $2K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose <1% 34 $2K
90686 <1% 255 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 507 $1K
74019 <1% 92 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 51 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 54 $1K
73521 <1% 64 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 257 $1K
73130 <1% 61 $800.10
73502 <1% 53 $711.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 48 $658.28
73610 <1% 67 $636.97
81002 <1% 786 $626.09
J1020 Injection, methylprednisolone acetate, 20 mg <1% 92 $536.44
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 18 $498.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 843 $450.52
90714 <1% 61 $409.14
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 48 $381.99
85651 <1% 249 $293.22
73522 <1% 30 $230.74
70220 <1% 19 $216.60
82947 <1% 83 $136.90
85610 <1% 77 $135.87
82274 <1% 19 $70.30
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $66.17
99318 0% 35 $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.

From NPPES

Who's on the registration

Authorized officialARRINGTON, KELSIE (CREDENTIALING)