Physician
Efren Leonida MD LLC
Efren Leonida MD LLC was paid $65K by Medicaid between Aug 2020 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 38% of everything it billed.
33Billing provider infoEFREN LEONIDA MD LLC
MT PLEASANT, PA 15666
MT PLEASANT, PA 15666
33aNPI1730453440assigned 02/27/2012
33bProvider typeFamily Medicine Physician
28Total paid$65K
24GClaims3,197
24DCodes billed11
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#822 of 2,756
Median peer was paid$19K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 557 | $5K | |
| 2021 | 1,319 | $25K | |
| 2022 | 778 | $20K | |
| 2023 | 450 | $12K | |
| 2024incomplete | 93 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 38% | 770 | 303 | $24K |
| 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 | 36% | 608 | 480 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 224 | 202 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 13% | 437 | 164 | $8K |
| 99253 | <1% | 12 | 12 | $285.90 | |
| 3078F | 0% | 141 | 111 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 523 | 431 | $0.00 |
| 3079F | 0% | 140 | 114 | $0.00 | |
| 3075F | 0% | 30 | 25 | $0.00 | |
| 3074F | 0% | 297 | 234 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | 13 | $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 officialVINKLER, MARLA (MEDICAL SECRETARY)