Leo Cusumano, M.D. PLLC

Leo Cusumano, M.D. PLLC was paid $13K by Medicaid between Jan 2018 and Mar 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoLEO CUSUMANO, M.D. PLLC
CUBA, NY 14727

33aNPI1982802435assigned 07/06/2007

33bProvider typePediatrics Physician

28Total paid$13K

24GClaims340

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,042 of 1,983

Median peer was paid$17K

This provider vs. median0.8×

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	293	$11K
2019	47	$2K

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	86%	298	254	$11K
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%	30	24	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	12	12	$196.35

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 officialCUSUMANO, LEO (PRESIDENT)