Physician

Jose Agustin Leon, M.D.

According to 2025 Medicare claims, Jose Leon, M.D. (NPI: 1437388907) practices rheumatology in the Auburn-Opelika, AL market, with the plurality of this provider's patient population coming from Lee, AL. This provider's primary affiliated billing organization is ARTICULARIS HEALTHCARE GROUP INC. (NPI: 1730770421; TIN: 571099718) and primary practice location at 36832-5906. Leon is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Leon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 222 traditional Medicare patients, billed 32,495 HCPCS/CPT codes, and received $402,078 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,071 prescription claims across 356 beneficiaries totaling $1,973,845 in drug costs, led by Rinvoq (Upadacitinib). 2018 DME data shows 40 claims. Open Payments data shows 143 records totaling $3,367. 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 sharply higher in recent years, from $96,132 to $402,078. Similarly, Part D prescription costs have moved sharply higher in recent years, from $36,489 to $1,973,845. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,555 to $0.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	497	1,273	$96,132
2016	530	1,401	$103,163
2017	195	595	$45,508
2018	48	83	$6,174
2019	96	205	$14,039
2020	114	341	$19,109
2021	159	6,439	$158,068
2022	168	13,706	$176,224
2023	191	22,712	$255,108
2024	222	32,495	$402,078

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	139	645	$36,489
2016	136	693	$38,941
2017	101	535	$30,329
2018	50	322	$60,806
2019	103	469	$250,813
2020	153	757	$696,507
2021	207	1,225	$952,967
2022	252	1,780	$1,319,494
2023	289	1,857	$1,605,450
2024	356	2,071	$1,973,845

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	51	$2,920
2016	N/R	25	$1,524
2017	N/R	N/R	N/R
2018	N/R	40	$1,372
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$155
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	207	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	45	56	$57
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	91	127	$12
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	278	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rinvoq	Upadacitinib	88	2,940	$621,083
Humira(Cf) Pen	Adalimumab	47	1,540	$366,638
Cosentyx Unoready Pen	Secukinumab	24	672	$186,635
Enbrel Mini	Etanercept	13	364	$94,334
Orencia Clickject	Abatacept	13	364	$73,412

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	143	$3,367	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Jose Agustin Leon, M.D.?

Tedicare shows public-source Medicare data for Jose Agustin Leon, M.D. (NPI 1437388907), 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 Jose Agustin Leon, M.D. have ACO affiliation data?

Jose Agustin Leon, M.D. is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Jose Agustin Leon, M.D.?

Jose Agustin Leon, M.D. is linked to ARTICULARIS HEALTHCARE GROUP INC. (billing NPI 1730770421) in the available physician profile data.

Does Jose Agustin Leon, M.D. have Open Payments data?

Jose Agustin Leon, M.D. has 143 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.