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

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

Janet Leon (NPI 1962504613)

Field	Value
Entity Type	Individual
Organization	Janet Leon
Address	3430 Newburg Rd
City	Louisville
State	KY
ZIP	40218
Taxonomy	Rheumatology Physician
NPI Enumerated	September 2, 2006

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only practice: Total Medicare revenue is $3M and there is no Medicaid billing on file, so payer exposure is concentrated in the Medicare program rather than a dual-payer mix. The dataset also notes that the top 3 Medicare codes by revenue account for 74.0% of this provider's total Medicare revenue, indicating a highly concentrated revenue base within Medicare.

Revenue is heavily concentrated in a small set of biologic drug administration codes. J0717 accounts for $970.4K (31.7% of Medicare revenue), J0129 accounts for $883.6K (28.9%), and J3262 accounts for $409.6K (13.4%); together these three codes make up the precomputed 74.0% share of Medicare revenue. This concentration implies most billing dollars derive from buy-and-bill biologic or infused therapies rather than routine evaluation-and-management visits.

The code mix and high dollar share of injectable biologics point to a rheumatology practice structured around in-office or infusion-suite administration of high-cost specialty drugs. High-revenue drug codes present include J0717 (certolizumab pegol), J0129 (abatacept), J3262 (tocilizumab), and J1602 (golimumab), alongside infusion administration codes such as 96365 and chemotherapy/infusion add-ons like 96413 and 96415, which together suggest regular IV/subcutaneous biologic delivery as a core service line.

On competitive standing, this provider is a clear national outlier for certain biologic codes: J0717 ranks #15 of 848 providers nationally (98th percentile; notably above typical national volume) and J0129 ranks #66 of 1221 providers nationally (95th percentile; notably above typical national volume). These rankings indicate the provider occupies a major national position for administering those specific biologic agents rather than being a modest or average-volume supplier.

There are marked statistical outliers in procedural administration volume that reinforce the infusion-centric profile. 96365 (initial IV infusion) ranks #208 of 8873 providers nationally (98th percentile; notably above typical national volume) and 96372 (therapeutic/prophylactic/subcutaneous or intramuscular injection) ranks #229 of 58224 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), signaling unusually high injection and infusion throughput compared with peers.

Although the practice bills for office evaluation-and-management codes, those represent a small share of revenue compared with drug administration. 99214 generated $28.1K (0.9% of Medicare revenue) and 99213 generated $15.2K (0.5%), indicating that E/M visits are present but not the principal revenue drivers when contrasted with biologic drug codes. This pattern suggests financial dependence on buy-and-bill and infusion revenue rather than on volume of routine office visits.

The provider’s Medicare code portfolio includes a mix of IV biologics (e.g., J9312 rituximab $182.7K, J1745 infliximab $136.5K) and subcutaneous agents (e.g., J0717 certolizumab pegol), indicating capability to deliver both infusion and injectable therapies across common rheumatologic biologics. Several of these additional drug codes show typical or unremarkable national volumes (e.g., J3262 described as typical, unremarkable volume for this code), so the practice pairs a few nationally high-volume drugs with several standard-volume specialty therapies.

The provider is long-tenured in the NPI file, enumerated on 2006-09-02 (~20 years ago), which may reflect established local operations and experience with Medicare buy-and-bill workflows and infusion administration. Given the combination of long tenure and concentrated, high-volume biologic billing, contracting, inventory management, and infusion capacity are likely central to the provider’s business model and payer negotiations.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	242,600	$1	$970.4K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	26,780	$30	$883.6K
J3262	Injection, tocilizumab, 1 mg	81,920	$10	$409.6K
J1602	Injection, golimumab, 1 mg, for intravenous use	31,880	$10	$318.8K
J9312	Injection, rituximab, 10 mg	2,900	$60	$182.7K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5,250	$30	$136.5K
J0897	Injection, denosumab, 1 mg	2,580	$20	$46.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	680	$50	$30.7K
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…	340	$80	$28.1K
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…	280	$50	$15.2K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Janet Leon — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	2	30	9,700	$30	$415.4K
J0717	1	30	46,400	$1	$288.1K
J3262	1	10	33,960	$1	$183.8K
J9312	1	10	2,850	$60	$174.1K
J1602	3	20	11,560	$10	$141.6K
J1745	3	10	2,010	$30	$93.6K
J0897	29	80	2,280	$20	$59.6K
96413	24	50	100	$90	$16.7K
99214	1,220	7,230	110	$70	$14.1K
99213	995	7,250	80	$50	$7.7K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Crump	KY	Rheumatology Physician	$1.9M	$0
Jacquelyn Smith	KY	Rheumatology Physician	$985.3K	$0
John Boone	KY	Rheumatology Physician	$710.4K	$0
Benjamin Boone	KY	Rheumatology Physician	$436K	$0
Michael Rogan	MN	Diagnostic Radiology Physician	$245K	$0
John Dvorak	MN	Ophthalmology Physician	$160.8K	$0
Derik Weldon	MN	Diagnostic Radiology Physician	$137.1K	$0
Richard Lucius	MN	Ophthalmology Physician	$136.4K	$0
Bradley Anderson	MN	Ophthalmology Physician	$129.7K	$0
Giovanni Lorenz	TX	Diagnostic Radiology Physician	$100.4K	$14.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freedom Senior Share, LLC	KY	Adult Day Care Clinic/Center	$0	$142.4M
Keystone Services, Inc Dba	KY	Adult Companion	$0	$55.5M
Breaking Barriers Of Ky LLC	KY	Community/Behavioral Health Agency	$0	$15.3M
Alternative Services For Individuals	KY	Adult Mental Health Clinic/Center	$0	$12.3M
Osting Individual And Family Services Inc	KY	Community/Behavioral Health Agency	$0	$9.6M
Bluegrass Counseling Associates	KY	Clinical Social Worker	$0	$9.4M
Kentucky Case Management, LLC	KY	Case Management Agency	$0	$9.3M
Meeting Challenges LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.4M
Active Day Ky, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$6.1M
Board Of Education Of Jefferson County Kentucky	KY	Local Education Agency (LEA)	$0	$4.9M

Janet Leon — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References