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    OpenPayerNPI Medicare & MedicaidJon Leleux
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    Jon Leleux — Billing Profile & Reimbursement Data

    NPI 1922000801 · Lafayette, LA · Interventional Cardiology Physician

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    Jon Leleux is a interventional cardiology physician provider located in Lafayette, Louisiana. This profile covers 55 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
    OrganizationJon Leleux
    Address315 Rue Louis Xiv Bldg B
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedAugust 11, 2005

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider is highly Medicare-focused with reported lifetime Medicare revenue of $1.3M and no Medicaid billing on file, making the practice effectively single-payer (Medicare) in the available data. Absence of any Medicaid claims suggests payer-concentration risk if arrangements or referral patterns shift, and limits Medicaid-specific competitive comparisons for this NPI in Louisiana.

    Revenue concentration is modestly concentrated: the precomputed top three Medicare codes by revenue account for 51.7% of total Medicare revenue, indicating a reliance on a narrow set of services (primarily cardiac imaging and higher-level outpatient E/M) to generate over half of Medicare receipts. This concentration highlights that changes in utilization or reimbursement for those few codes would materially impact overall take.

    The code mix and descriptions indicate a practice centered on interventional and advanced cardiac diagnostics: high-revenue imaging and stress/PET studies (78492, A9555, 78452), echocardiography (93306), vascular duplex (93880), and interventional procedures (93458, 92928, 93459). Coupled with very high-volume office E/M codes (99214, 99213, 99215) and device management/remote monitoring codes (93294, 93296, 93280), this pattern is consistent with an interventional cardiology practice that provides both procedural cath lab services and longitudinal outpatient management.

    Several individual Medicare codes show extreme or notable national standing that elevates this provider’s profile in specific service lines. 99214 ranks #274 of 479,517 providers (100th percentile, labeled an "extreme outlier") and 93000 ranks #91 of 71,016 providers (100th percentile, also an "extreme outlier"), indicating unusually high volume for common cardiology E/M and ECG services relative to national peers. Similarly, 93880 ranks #20 of 21,316 providers (100th percentile, "extreme outlier"), signaling outsized activity in duplex vascular ultrasound compared with peers.

    Other top codes are above typical national volumes but less extreme: 93306 (echocardiography) is at the 99th percentile and 93458 (imaging supervision for coronary angiography) is at the 94th percentile, both suggesting the provider performs more imaging and cath-related interpretation than most peers. Mid-ranked diagnostic radiotracers and stress agents such as A9555 (78th percentile) and J2785 (98th percentile but described as typical) show steady utilization of nuclear stress testing components.

    Operationally, the presence of both high-volume ambulatory E/M (3K claims for 99214) and procedural/interventional codes (e.g., 55 claims for 92928, 110 claims for 93458, and 35 claims for 93459) suggests the provider balances clinic-based longitudinal care with procedural cath lab throughput. This mix supports a business model that captures downstream imaging and device follow-up revenue streams, including remote device monitoring (multiple 90-day device-monitoring codes reported).

    Tenure data show the provider’s NPI was enumerated on 2005-08-11 (~21 years ago), indicating long-standing Medicare enrollment and likely established referral networks or practice infrastructure. That longevity, combined with concentrated procedural and diagnostic volumes, supports the interpretation of an established interventional cardiology practice rather than a newly formed clinic.

    Competitive standing by code varies: for some high-volume services the provider is a national outlier (e.g., 99214, 93000, 93880), implying the provider is a major local or regional source of those services, while for many other advanced procedure codes (e.g., 92928, 93459, device implantation 33208) the provider ranks in the mid-to-upper national percentiles (65th–94th), consistent with a strong but not dominant procedural footprint nationally. These mixed standings suggest local prominence in diagnostic and outpatient cardiology services with respectable, though not top-tier, national placement in invasive procedures.

    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…250$1,110$277K
    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…2,960$90$260K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…1,050$130$131.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,020$110$109.8K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries260$410$103.8K
    J2785Injection, regadenoson, 0.1 mg1,360$40$59.8K
    93243After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm, a processing center technician performs a scanning…250$160$39.7K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…110$310$34.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…480$60$29.9K
    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…500$50$26.2K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78492250100$1,080$123.4K
    A9555460130$540$75.1K
    3320894020$1,170$26.9K
    933063390200$90$22.2K
    93229266030$580$18.7K
    9921466,670110$80$16.5K
    J27853150220$40$16K
    784525325050$190$13.7K
    992322732,58090$60$13.3K
    992338332,01070$90$12.3K

    Showing 1–10 of 55

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abbeville General HospitalLARural Acute Care Hospital$0$18.9M
    Abbeville General HospitalLARural Health Clinic/Center$0$15.5M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Abbeville General HospitalLARural Health Clinic/Center$0$6.9M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    James RussoLARadiation Oncology Physician$3.5M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Russell FilecciaLACardiovascular Disease Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acadian Ambulance Service, Inc.LAAir Ambulance$38.7M$422.7M
    Pediatric Group Of Acadiana, LLCLASpecialist$0$57.5M
    Leading Health Care Of LaLAIn Home Supportive Care Agency$0$57.4M
    Our Lady Of Lourdes Regional Medical Center, IncLAGeneral Acute Care Hospital$0$54.3M
    Sleep Management, L.L.C.LAOxygen Equipment & Supplies (DME)$0$41.8M
    Medi Trans, LLCLATransportation Broker$0$29.8M
    L & D Community Care, IncLAIn Home Supportive Care Agency$0$24.4M
    Acadiana Acute Care Associates, LLCLAEmergency Medicine Physician$0$20.4M
    Lourdes After Hours LLCLAUrgent Care Clinic/Center$0$20.2M
    Laboratory Corporation Of AmericaLAClinical Medical Laboratory$1.9M$12.4M

    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. Louisiana Distribution
    Jon Leleux — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana