Physician
Leonida, Efren
Leonida, Efren was paid $369K by Medicaid between Aug 2020 and Dec 2024, across 21 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.
33Billing provider infoLEONIDA, EFREN
MT PLEASANT, PA 15666
MT PLEASANT, PA 15666
33aNPI1891892188assigned 09/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$369K
24GClaims18,071
24DCodes billed21
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#198 of 2,756
Median peer was paid$19K
This provider vs. median19×
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 | 875 | $9K | |
| 2021 | 4,346 | $58K | |
| 2022 | 4,469 | $88K | |
| 2023 | 4,909 | $120K | |
| 2024incomplete | 3,472 | $94K |
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 | 31% | 2,814 | 1,135 | $113K |
| 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 | 25% | 1,853 | 1,795 | $93K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 20% | 2,875 | 895 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,318 | 1,200 | $45K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.6% | 345 | 334 | $32K |
| 99254 | 3.2% | 212 | 203 | $12K | |
| 99253 | <1% | 68 | 66 | $2K | |
| 90674 | <1% | 81 | 80 | $627.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 28 | $286.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,991 | 1,836 | $0.00 |
| 3078F | 0% | 1,597 | 1,488 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 30 | 30 | $0.00 |
9 more codes
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.