Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 202 | 204 | $535,349 | $20,911 |
| 2022 | 5 | 223 | 223 | $483,240 | $21,507 |
| 2021 | 8 | 262 | 285 | $473,586 | $21,855 |
| 2020 | 11 | 280 | 298 | $399,727 | $21,532 |
All Medicare Procedures & Services
29 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2023 | 80 | 80 | $274,694 | $15,584 | 5.7% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 45 | 46 | $129,076 | $2,294 | 1.8% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 30 | 30 | $85,950 | $1,772 | 2.1% |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | Facility | 2023 | 12 | 12 | $34,656 | $1,120 | 3.2% |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | Facility | 2023 | 35 | 36 | $10,973 | $141.45 | 1.3% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 79 | 79 | $268,205 | $14,268 | 5.3% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 19 | 19 | $47,481 | $3,311 | 7.0% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 37 | 37 | $97,014 | $2,221 | 2.3% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 19 | 19 | $50,882 | $1,489 | 2.9% |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | Facility | 2022 | 69 | 69 | $19,658 | $216.75 | 1.1% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 70 | 70 | $228,480 | $13,237 | 5.8% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2021 | 17 | 17 | $40,851 | $2,934 | 7.2% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 41 | 42 | $105,882 | $2,729 | 2.6% |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | Facility | 2021 | 30 | 30 | $77,250 | $1,994 | 2.6% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 15 | 15 | $2,636 | $629.52 | 23.9% |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | Facility | 2021 | 63 | 63 | $17,256 | $179.52 | 1.0% |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | Office | 2021 | 15 | 30 | $717.00 | $98.40 | 13.7% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2021 | 11 | 18 | $514.80 | $54.00 | 10.5% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | Facility | 2020 | 66 | 66 | $209,502 | $12,094 | 5.8% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 40 | 40 | $97,833 | $2,350 | 2.4% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 15 | 15 | $6,992 | $1,587 | 22.7% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 16 | 16 | $4,666 | $1,264 | 27.1% |
| 45380 | Biopsy of large bowel using an endoscope | Facility | 2020 | 21 | 22 | $54,868 | $1,208 | 2.2% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2020 | 15 | 15 | $5,687 | $1,185 | 20.8% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Office | 2020 | 17 | 17 | $3,279 | $981.98 | 29.9% |
About Dr. Frank Leon, DO
Dr. Frank Leon, DO is a Gastroenterology healthcare provider based in Weston, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/27/2006. The National Provider Identifier (NPI) number assigned to this provider is 1881702116.
As a Medicare-enrolled provider, Leon has provided services to 967 Medicare beneficiaries, totaling 1,010 services with total Medicare billing of $85,806. Data is available for 4 years (2020–2023), covering 29 distinct procedure/service records.
Practice Information
- Specialty Gastroenterology
- Location Weston, WI
- Active Since 08/27/2006
- Last Updated 11/17/2022
- Taxonomy Code 207RG0100X
- Entity Type Individual
- NPI Number 1881702116
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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