Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lee, David

Lee, David was paid $591K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 19% of everything it billed.

33Billing provider infoLEE, DAVID
FLUSHING, NY 11354
33aNPI1003848714assigned 07/06/2006
33bProvider typeOphthalmology Physician
28Total paid$591K
24GClaims17,325
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#162 of 1,085
Median peer was paid$34K
This provider vs. median17×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018213$4K
20191,960$61K
20201,868$67K
20214,389$156K
20223,538$122K
20233,233$101K
2024incomplete2,124$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 1,808 1,795 $111K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14% 2,787 2,733 $86K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 1,779 1,762 $81K
92250 11% 1,708 1,703 $66K
92083 11% 1,612 1,605 $66K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 2,332 2,204 $62K
92286 5.5% 554 553 $33K
68040 3.1% 1,125 584 $18K
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 2.2% 350 342 $13K
68761 2.0% 248 131 $12K
V2020 Frames, purchases 1.3% 383 379 $8K
92025 1.3% 1,157 1,154 $8K
14 more codes
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.1% 285 $7K
92133 1.1% 363 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 234 $4K
92285 <1% 56 $4K
76512 <1% 61 $3K
92002 <1% 58 $2K
92015 Determination of refractive state <1% 173 $1K
92020 <1% 73 $845.11
92202 <1% 41 $341.98
67820 <1% 25 $338.58
76514 <1% 45 $282.63
65210 <1% 13 $271.79
92225 <1% 31 $172.46
92273 <1% 24 $127.36

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.