Lebron, Carmen

Lebron, Carmen was paid $17K by Medicaid between Jan 2018 and Mar 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoLEBRON, CARMEN
WEST ORANGE, NJ 07052

33aNPI1902872468assigned 02/24/2006

33bProvider typePediatrics Physician

28Total paid$17K

24GClaims692

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#408 of 549

Median peer was paid$154K

This provider vs. median0.1×

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
2018	212	$7K
2019	111	$3K
2020	192	$3K
2021	131	$3K
2022	46	$920.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	212	191	$11K
90460	Immunization administration through 18 years of age via any route, first or only component	21%	179	178	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	7.0%	79	74	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.7%	12	12	$829.61
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.2%	127	120	$741.06
36415	Collection of venous blood by venipuncture	1.1%	27	27	$190.43
92551		<1%	13	13	$118.90
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	12	$38.82
99173		<1%	14	14	$37.78
85018		<1%	16	16	$17.63

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.