EFREN LEONIDA, M.D.
Family Medicine Physician · MT PLEASANT, PA
Individual Active NPI 1891892188
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 128 | 955 | $205,528 | $81,766 | $62,493 |
| 2023 | 150 | 867 | $206,576 | $82,869 | $59,351 |
| 2022 | 163 | 1,245 | $251,508 | $100,315 | $74,445 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 271 | $47 | $37 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 269 | $121 | $83 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 114 | $75 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 64 | $86 | $60 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 61 | $123 | $123 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | $123 | $96 |
| G0444 | Annual depression screening, 5 to 15 minutes | 45 | $18 | $18 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 16 | $50 | $38 |
| 99496 | Transitional care management services for problem of high complexity | 13 | $263 | $198 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD420007 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.