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PROVIDER PROFILE · NPI 1083814057

Sergio LeonM.D.

RheumatologyBeaumont, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 450034
Hospital
CCN 450346
Hospital
CCN 450573
Hospital
REFERRAL NETWORK

Where Sergio Leon's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
115288
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
83233
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
2437
INOVA HEALTH CARE SERVICES1934
RANDOLPH, DONNA1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
119253
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
100244
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
41106
INOVA HEALTH CARE SERVICES3770
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
2124
INOVA HEALTH CARE SERVICES1937
INOVA HEALTH CARE SERVICES1530
SOLSTAS LAB PARTNERS GROUP LLC1337
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
1214
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
545
Unique beneficiaries
—
Total services
1,003
Distinct HCPCS
4
Medicare payment
$42K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 382 Rheumatology providers in TX — below median (cohort median 13,742).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
2,244
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
36
Brand share
18.0%
Top prescribed drugs
Hydroxychloroquine Sulfate559 claims
Prednisone216 claims
Cyclobenzaprine Hcl197 claims
Methotrexate Sodium149 claims
Tramadol Hcl104 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.