Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Leslie Lenter (NPI 1245274109)

Field	Value
Entity Type	Individual
Organization	Leslie Lenter
Address	305 S State St
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$324K
Medicaid	$0

Key Findings

Payer mix is effectively single–payer: this provider reports Total Medicare revenue of $324K and has no Medicaid billing on file (none below). That concentration means analyses of financial performance and utilization should treat Medicare as the primary commercial data source for this NPI.

Revenue concentration is meaningful at the code level: the precomputed top‑3 Medicare codes — 74177 ($38K, 14.9%), 77067 ($27.6K, 10.8%), and 77063 ($21.6K, 8.5%) — account for 34.2% of this provider’s Medicare revenue. This indicates reliance on a small set of high‑revenue services, so changes in referral patterns or reimbursement for these codes could materially affect income.

The code mix indicates a broad diagnostic radiology operation that spans cross‑sectional and screening services: high‑volume CT (74177, 74176, 71260, 71275), breast imaging/mammography (77067, 77063), MRI brain and spine (70553, 70551, 72148, 72158), PET/CT (78815), ultrasound (76705), and routine radiographs (71046, 71045). These modalities are consistent with a Diagnostic Radiology Physician taxonomy and suggest the provider performs both advanced imaging (CT/MRI/CTA/PET) and high‑throughput screening/imaging workflows.

This provider is a national outlier on at least one service: 74177 ranks #287 of 23621 providers (99th percentile; extreme outlier), meaning their CT abdomen/pelvis with contrast volume is far above typical national levels and represents a point of competitive strength. At the same time, Total Medicare revenue of $324K is modest in absolute terms, so the practice is niche‑dominant on select codes rather than broadly dominant across radiology services.

Several CT and CTA codes show above‑typical national standing, consistent with a CT‑intensive practice: 74176 (94th percentile; notably above typical), 71260 (97th percentile; notably above typical), 71275 (94th percentile; notably above typical), 70496 (94th percentile; notably above typical), and 70498 (93th percentile; notably above typical). These rankings point to a concentrated capability in contrast and angiographic CT studies that could reflect either a referral pattern for complex imaging or capacity for high‑throughput CT services.

The provider also reports very high claim counts for basic chest radiography — 71046 (898 claims, $6.3K revenue, 2.5%) and 71045 (901 claims, $5.4K revenue, 2.1%) — which are described as 99th and 84th percentile volumes respectively but labeled as typical or unremarkable. This pattern (high unit volume with low average payment per claim) is common for radiology and suggests steady, routine imaging throughput supporting emergency or outpatient clinics.

Despite several high‑percentile code rankings, many of the listed services are characterized as typical, unremarkable volume (e.g., 77067 and 77063 at the 85th percentile; 70553 at the 88th percentile), indicating that outside a handful of outlier CT services the provider’s utilization profile resembles a routine diagnostic radiology practice. For competitive analysis, treat this NPI as a mixed profile: exceptional in particular CT procedures but largely aligned with national norms for many other imaging codes.

The provider has long tenure in Medicare enrollment — NPI enumerated 2006-06-15 (~20 years ago) — which supports the likelihood of established referral connections and stable participation. Tenure combined with concentrated strengths in specific CT services should be considered when modeling future volume or assessing local competitive positioning.

Medicare: Complete Services Breakdown

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	610	$60	$38K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	790	$40	$27.6K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	770	$30	$21.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	200	$80	$15.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	230	$60	$14.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	500	$30	$14K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	330	$40	$12.9K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	240	$50	$12.5K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	190	$60	$11.7K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	150	$60	$8.9K

Showing 1–10 of 101

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 101 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Leslie Lenter — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

101 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78815	8	20	60	$420	$40.9K
77067	9	120	70	$50	$13.1K
74177	2	80	90	$70	$10K
78452	44	40	140	$60	$8.6K
93925	11	30	50	$90	$7.7K
70553	4	40	40	$90	$7.6K
77063	9	110	70	$30	$7.5K
70450	5	70	150	$30	$5.2K
71275	3	60	70	$60	$5.1K
74183	4	10	50	$90	$4.6K

Showing 1–10 of 101

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

Other providers in the same ZIP code as Leslie Lenter, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adjustment Training Center, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$40.3M
Northeastern Mental Health Center	SD	Mental Health Counselor	$0	$10.1M
Vision Care Associates, LLP	SD	Optometrist	$0	$6M
Sanford Health Network	SD	General Acute Care Hospital	$0	$4.4M
Avera St. Luke's	SD	Family Medicine Physician	$0	$2.3M
Sanford Health Network	SD	General Acute Care Hospital	$0	$1.9M
Avera At Home	SD	Home Health Agency	$0	$1.6M
Avera St Lukes	SD	General Acute Care Hospital	$0	$1.5M
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Fettig And Drake Dds PC	SD	General Practice Dentistry	$0	$1M

Leslie Lenter — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References