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

Lesesne, Mercedes

Lesesne, Mercedes was paid $85K by Medicaid between Nov 2022 and Apr 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoLESESNE, MERCEDES
PATERSON, NJ 07514
33aNPI1811938293assigned 06/09/2006
28Total paid$85K
24GClaims2,951
24DCodes billed19
24AFirst – last monthNov 2022 – Apr 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New Jersey

Rank by total paid#35 of 56
Median peer was paid$178K
This provider vs. median0.5×

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$5.0K$10K$15K2018201920202021202220232024
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
2022128$2K
20232,558$74K
2024incomplete265$9K
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 48% 1,031 946 $40K
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% 225 214 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.2% 114 112 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7.0% 551 522 $6K
90472 Immunization administration, each additional vaccine (list separately) 5.9% 269 256 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.9% 86 84 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.9% 101 91 $5K
90619 4.0% 33 32 $3K
99188 1.3% 74 70 $1K
90686 <1% 292 270 $609.05
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 12 $520.00
90460 Immunization administration through 18 years of age via any route, first or only component <1% 14 14 $402.50
7 more codes
90715 <1% 12 $104.82
90633 <1% 24 $25.11
83655 <1% 26 $9.00
85018 <1% 40 $2.64
90670 0% 14 $0.00
90651 0% 15 $0.00
36416 0% 17 $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.