Physician
Lee, Paul
Lee, Paul was paid $42K by Medicaid between Jan 2018 and Jan 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoLEE, PAUL
GARDEN GROVE, CA 92844
GARDEN GROVE, CA 92844
33aNPI1003838012assigned 07/25/2006
33bProvider typeOphthalmology Physician
28Total paid$42K
24GClaims14,702
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#367 of 759
Median peer was paid$35K
This provider vs. median1.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,095 | $12K | |
| 2019 | 1,053 | $8K | |
| 2020 | 2,107 | $8K | |
| 2021 | 2,484 | $7K | |
| 2022 | 3,315 | $6K | |
| 2023 | 612 | $712.27 | |
| 2024incomplete | 36 | $269.69 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 66% | 6,577 | 6,336 | $28K |
| 92083 | 8.3% | 2,318 | 2,313 | $3K | |
| 92250 | 6.9% | 1,184 | 1,184 | $3K | |
| 92134 | 6.4% | 2,349 | 2,344 | $3K | |
| 92133 | 4.8% | 1,626 | 1,625 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 218 | 217 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 14 | 12 | $482.95 |
| 68761 | 1.1% | 251 | 249 | $461.19 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 65 | 65 | $375.39 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 35 | 35 | $325.27 |
| 67820 | <1% | 65 | 64 | $39.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.