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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Doris Leone (NPI 1851398853)

Field	Value
Entity Type	Individual
Organization	Doris Leone
Address	6125 S Broadway
City	Lorain
State	OH
ZIP	44053
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicare	$20.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00520	The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…	90	$110	$9.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	110	$70	$7.2K
00732	The anesthesia provider performs anesthesia services for an endoscopic retrograde cholangiopancreatography (ERCP) during which another provider introduces the endoscope to the proximal (upper) part…	30	$100	$2.9K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$60	$890

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Doris Leone — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	932	1,330	20	$80	$2.7K
00520	3	100	10	$110	$2.2K
00731	32	1,700	20	$80	$2.1K
00732	4	40	20	$100	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health-regional Medical Center LLC	OH	General Acute Care Hospital	$0	$42.4M
Riveon Mental Health And Recovery	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.4M
Lorain County Alcohol & Drug Abuse Services, Inc.	OH	Substance Abuse Rehabilitation Facility	$0	$26M
Silver Maple Recovery, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$17.6M
Mercy Health Physicians Lorain, LLC	OH	Family Medicine Physician	$0	$12.5M
Sprenger Hospice, Inc.	OH	Community Based Hospice Care Agency	$0	$11.9M
Mercy Health-regional Medical Center LLC	OH	Community Based Hospice Care Agency	$0	$7.4M
Emergency Medical Services Of Lorain, Inc.	OH	Emergency Medicine Physician	$0	$6.9M
Kasra Karamlou	OH	Hematology & Oncology Physician	$1.5M	$0
Aimee Haber	OH	Ophthalmology Physician	$335.7K	$0

Doris Leone — Billing Profile & Reimbursement Data

Sign up for Doris Leone — Billing Profile & Reimbursement Data policy alerts

Doris Leone — Billing Profile & Reimbursement Data

Sign up for Doris Leone — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References