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    OpenPayerNPI Medicare & MedicaidStephen Leblanc
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    Stephen Leblanc — Billing Profile & Reimbursement Data

    NPI 1932622735 · Alexandria, LA · Optometrist

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    Stephen Leblanc is a optometrist provider located in Alexandria, Louisiana. This profile covers 10 Medicare and 20 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)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Leblanc
    Address5917 Jackson St
    CityAlexandria
    StateLA
    ZIP71303
    TaxonomyOptometrist
    NPI EnumeratedJuly 24, 2017

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

    Payer SourceTotal Paid
    Medicaid$687.5K
    Medicare$45.4K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.130$120$14.6K
    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…230$60$13.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$80$6.1K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…90$70$5.8K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…80$20$1.8K
    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…20$70$1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.40$30$910
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…40$20$830
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.30$20$420
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…10$30$280

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014333470170$80$23.9K
    992146,3266,670110$80$16.5K
    992131,1066,06070$50$8.1K
    9213426636070$20$7.4K
    6876166030$140$7.4K
    9200411138050$90$5.5K
    9225016434070$20$3.7K
    9208320332050$30$3.1K
    9213332133060$20$2K
    9208272020$30$850

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.2,930$80$240.2K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…2,380$70$161.7K
    V2020Frames, purchases4,750$10$66.5K
    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…1,670$40$61.9K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.3,310$10$39.8K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens2,250$20$33.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…460$40$19.4K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens900$10$12.6K
    92065The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.320$30$9.9K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…270$40$9.9K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…3013701,080$40$212.3K
    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…1,3723,2301,120$30$204.3K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1936601,070$60$129.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.85580610$80$103.9K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…71110530$20$94.2K
    92065The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.4102,070$30$72.6K
    V2020Frames, purchases1195501,570$20$50.6K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…2530950$30$46K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…111260330$30$41.7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.148840440$20$36.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    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
    Ruben GrigorianLAOphthalmology Physician$2.4M$57.1K
    Jeffrey GossleeLARetina Specialist (Ophthalmology) Physician$2.3M$4.5K
    Jonathan PerkinsLARetina Specialist (Ophthalmology) Physician$1.7M$160.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fairway Counseling Agency, Inc.LAMental Health Clinic/Center (Including Community Mental Health Center)$0$38.1M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$14.7M
    Guardian Angels Care Services IncLAPersonal Care Attendant$0$13M
    Kid's Dental Zone Alexandria LLCLAPediatric Dentistry$0$8.4M
    Prescribed Pediatric Extended Care, IncLAMedically Fragile Infants and Children Day Care$0$8.1M
    Baymark Health Services Of Louisiana, Inc.LASubstance Use Disorder Rehabilitation Clinic/Center$166.6K$6.8M
    Red River Associates LLCLASpecialist$0$6.9M
    Crossroads Regional Hospital, LLCLAPsychiatric Hospital$0$5.8M
    Alexandria Eye And Laser Center, LLCLAOphthalmology Physician$0$5.3M
    We Care Behavioral Health, LLCLAMental Health Clinic/Center (Including Community Mental Health Center)$0$4.6M

    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
    Stephen Leblanc — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Stephen Leblanc — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana