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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLauren De Leon
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    Lauren De Leon — Billing Profile & Reimbursement Data

    NPI 1205154523 · Foxborough, MA · Internal Medicine Physician

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    Lauren De Leon is a internal medicine physician provider located in Foxborough, Massachusetts. This profile covers 11 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLauren De Leon
    Address22 Patriot Pl Fl 4
    CityFoxborough
    StateMA
    ZIP02035
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 11, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$71.4K
    Medicaid$150

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$140$21.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…230$70$16K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…140$100$13.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$6.5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…50$90$4.2K
    99443N/A40$100$3.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$1.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…10$140$1.5K
    G0008Administration of influenza virus vaccine30$30$1.1K
    G0009Administration of pneumococcal vaccine30$30$920

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921472015,410110$80$15.6K
    G0439513,35070$120$11.9K
    9921329813,70070$60$8.8K
    90677561,81020$280$7.7K
    992047065,87030$120$5.6K
    906621222,19040$70$5.1K
    992031924,29030$80$4.1K
    99443361,96030$80$3.8K
    G00082093,49040$30$3.5K
    G0009521,93020$30$780

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.20$10$160

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,0001,19090$10$16K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lauren De Leon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbor Medical Associates, Inc.MAClinical Medical Laboratory$1.8M$420.7K
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$753K$191K
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$620.5K$0
    Seth McclennenMAClinical Cardiac Electrophysiology Physician$548.9K$0
    Nicole WoodMAFamily Medicine Physician$419.7K$0
    Mohammadali MojarradMADiagnostic Radiology Physician$343.4K$40.3K
    Anahita GhorbaniMACardiovascular Disease Physician$350.3K$0
    Brendan MerchantDCInternal Medicine Physician$346.7K$0
    Anthony MarksMAInterventional Cardiology Physician$331.7K$200
    Paul SchubertMACardiovascular Disease Physician$323.9K$530

    Nearby Providers

    Other providers in the same ZIP code as Lauren De Leon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.MAHome Health Agency$0$39.5M
    Peace & Harmony Home Care LLCMAHome Health Agency$0$10.9M
    Adult Day Health, Inc.MAAdult Day Care Clinic/Center$0$8.8M
    Salvatore NapoliMANeurology Physician$2.3M$0
    Town Of FoxboroughMALand Ambulance$337.5K$746.6K
    Anthony RodriguesMANeurology with Special Qualifications in Child Neurology Physician$137.9K$122.5K
    Charles WolffMAFamily Medicine Physician$232.9K$10.5K
    Emily RobinsonMANephrology Physician$211.3K$0
    Austin MeekerMAOphthalmology Physician$166.5K$0
    Jennifer KurzMAPain Medicine (Physical Medicine & Rehabilitation) Physician$113.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Lauren De Leon — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Lauren De Leon — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts