Physician

Robert James Leach, MD

According to 2025 Medicare claims, Robert Leach, MD (NPI: 1114910411) practices nephrology in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is COLLOM & CARNEY CLINIC ASSOCIATION (NPI: 1265414635; TIN: 751151440) and primary practice location at 75503-9766. Leach is affiliated with the Prime Care Managers, LLC (ACO ID: A3280), participating under the MSSP model.

Leach's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 593 traditional Medicare patients, billed 7,346 HCPCS/CPT codes, and received $296,944 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,049 prescription claims across 359 beneficiaries totaling $350,412 in drug costs, led by Jardiance (Empagliflozin). 2022 DME data shows 12 claims. Open Payments data shows 37 records totaling $782. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $97,242 to $296,944. Similarly, Part D prescription costs have risen steadily, from $30,867 to $350,412. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $9,509 to $0.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$193K$386K2015 Medicare payment: $97,242 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $89,537 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $104,850 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $290,178 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $386,175 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $334,715 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $335,436 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $337,695 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $298,869 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $296,944 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154531,176$97,242
20164321,114$89,537
20174341,268$104,850
20186456,929$290,178
20197088,119$386,175
20207447,287$334,715
20216307,172$335,436
20225758,347$337,695
20235778,499$298,869
20245937,346$296,944

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$175K$350K2015 Drug cost: $30,867 (USD; Tot_Drug_Cst)2016 Drug cost: $19,093 (USD; Tot_Drug_Cst)2017 Drug cost: $34,914 (USD; Tot_Drug_Cst)2018 Drug cost: $33,451 (USD; Tot_Drug_Cst)2019 Drug cost: $108,113 (USD; Tot_Drug_Cst)2020 Drug cost: $77,462 (USD; Tot_Drug_Cst)2021 Drug cost: $113,981 (USD; Tot_Drug_Cst)2022 Drug cost: $271,302 (USD; Tot_Drug_Cst)2023 Drug cost: $231,236 (USD; Tot_Drug_Cst)2024 Drug cost: $350,412 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201592349$30,867
201684258$19,093
2017111279$34,914
2018128360$33,451
2019188944$108,113
20202101,076$77,462
20212491,182$113,981
20222811,458$271,302
20233271,645$231,236
20243592,049$350,412

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.3K$8.6K2015 Medicare payment: $8,648 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,290 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,580 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,308 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,755 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,169 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,562 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $151 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R105$8,648
20161180$4,290
20172380$2,580
2018N/R32$1,308
2019N/R61$1,755
2020N/R98$4,169
2021N/R62$2,562
2022N/R12$151
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more249477$91
80053Blood test, comprehensive group of blood chemicals230461$10
36415Insertion of needle into vein for collection of blood sample231566$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count232464$8
82570Creatinine level to test for kidney function or muscle injury226445$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin1456,310$121,499
FarxigaDapagliflozin Propanediol1426,360$113,250
VelphoroSucroferric Oxyhydroxide13370$47,321
Sevelamer CarbonateSevelamer Carbonate572,554$6,304
ClonidineClonidine362,022$5,638

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.37$782Boehringer Ingelheim Pharmaceuticals, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Robert James Leach, MD?

Tedicare shows public-source Medicare data for Robert James Leach, MD (NPI 1114910411), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert James Leach, MD have ACO affiliation data?

Robert James Leach, MD is shown with ACO affiliation data for Prime Care Managers, LLC (MSSP, ACO ID A3280).

What billing organization is linked to Robert James Leach, MD?

Robert James Leach, MD is linked to COLLOM & CARNEY CLINIC ASSOCIATION (billing NPI 1265414635) in the available physician profile data.

Does Robert James Leach, MD have Open Payments data?

Robert James Leach, MD has 37 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.