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    OpenPayerNPI Medicare & MedicaidLea Laplace
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    Lea Laplace — Billing Profile & Reimbursement Data

    NPI 1851369797 · Norfolk, VA · Internal Medicine Physician

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    Lea Laplace is a internal medicine physician provider located in Norfolk, Virginia. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLea Laplace
    Address426 E Freemason St
    CityNorfolk
    StateVA
    ZIP23510
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 8, 2006

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

    Payer SourceTotal Paid
    Medicare$121.3K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…590$80$47.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit220$130$28K
    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…350$60$19.6K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$210$4.4K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…130$30$4.2K
    G0008Administration of influenza virus vaccine130$30$3.8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$170$3.1K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…60$50$2.7K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$140$2.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$80$1.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,51612,890140$80$21K
    G04394862,96080$120$14.7K
    992131,53712,44090$60$10K
    9949624256020$190$5.1K
    9949753774040$60$5.1K
    9949533560020$140$3.6K
    G00081,0093,49070$30$3.1K
    G040213260020$150$2.6K
    992121,9792,83030$40$2.3K
    8742817173030$50$2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associates In Primary Care, LLCVTFamily Nurse Practitioner$0$298.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hope House FoundationVADevelopmentally Disabled Services Day Training Agency$0$77.9M
    City Of NorfolkVAAmbulance$1.7M$9.5M
    Doreen Home Health Care LLCVAHome Health Agency$0$10.3M
    C&e Adult Services Inc.VACommunity/Behavioral Health Agency$0$9.2M
    East Coast Family ServicesVACommunity/Behavioral Health Agency$0$8.8M
    Envision Family Services, LLCVACommunity/Behavioral Health Agency$0$6.9M
    Prime Care Home Health Services LLCVAHome Health Agency$0$6.2M
    Norfolk City Public SchoolsVALocal Education Agency (LEA)$0$5.8M
    Dominion Pathology Laboratories PCVAClinical Medical Laboratory$2.9M$271.9K
    Philip GentleskVAClinical Cardiac Electrophysiology Physician$349K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Lea Laplace — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia