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NPI 1710154331 · Oak Lawn, IL · Sports Medicine (Orthopaedic Surgery) Physician
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James Leonard is a sports medicine (orthopaedic surgery) physician provider located in Oak Lawn, Illinois. This profile covers 23 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Leonard |
| Address | 4220 W 95th St Ste 100 |
| City | Oak Lawn |
| State | IL |
| ZIP | 60453 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | May 13, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $243.6K |
| Medicaid | $10.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 470 | $100 | $44.8K |
| 99213 | The 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… | 630 | $70 | $43.4K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 650 | $50 | $32.3K |
| 23472 | In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider… | 30 | $1,280 | $31.9K |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,450 | $10 | $17.1K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 520 | $30 | $16.1K |
| 99204 | The 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… | 130 | $120 | $15.7K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $880 | $15K |
| 73221 | In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or… | 50 | $110 | $5.8K |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 720 | $10 | $3.6K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 29827 | 42 | 110 | 20 | $1,030 | $22.6K |
| 23472 | 35 | 130 | 20 | $860 | $21.4K |
| 99214 | 1,435 | 18,540 | 110 | $80 | $17.1K |
| J7325 | 7 | 60 | 1,700 | $10 | $16.4K |
| J7318 | 25 | 60 | 1,620 | $10 | $14.4K |
| 97530 | 1,489 | 3,320 | 360 | $30 | $14.2K |
| 97110 | 1,559 | 4,100 | 480 | $20 | $12.9K |
| 99213 | 360 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 13 | 1,550 | 60 | $50 | $7.6K |
| 99204 | 383 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 23
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 440 | $20 | $9.6K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 40 | $20 | $590 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 5,958 | 14,190 | 280 | $20 | $38.9K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 348 | 550 | 60 | $10 | $3K |
Other providers in the same ZIP code as James Leonard, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ayman Rawda | IL | Pediatrics Physician | $0 | $15M |
| Village Of Oak Lawn | IL | Land Ambulance | $649.5K | $11.6M |
| Oda Solutions, Inc | IL | Methadone Clinic | $0 | $9.7M |
| Mazen Rachid | IL | Pediatrics Physician | $0 | $5.1M |
| Ahmed Ramaha | IL | General Practice Dentistry | $0 | $4.9M |
| Omprakash Sawlani | IL | Pediatrics Physician | $0 | $3.3M |
| Ghassan Zalzaleh | IL | Hematology & Oncology Physician | $3.1M | $149K |
| Amar Hamad | IL | Hematology & Oncology Physician | $3M | $97.1K |
| Sunil Shah | IL | Internal Medicine Physician | $256.6K | $1.6M |
| Chintan Mistry | IL | Emergency Medicine Physician | $301K | $1.5M |
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