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

Lee, James

Lee, James was paid $1K by Medicaid between Jan 2018 and Jul 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoLEE, JAMES
FULLERTON, CA 92835
33aNPI1033316682assigned 06/28/2007
33bProvider typeOtolaryngology Physician
28Total paid$1K
24GClaims261
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#140 of 168
Median peer was paid$67K
This provider vs. median0.0×

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$250$500$7502018201920202021202220232024
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
2018168$664.46
201993$574.65
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 50 45 $742.47
69210 40% 25 24 $496.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 88 76 $0.28
4040F <1% 34 32 $0.12
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 40 39 $0.09
G8482 Influenza immunization administered or previously received 0% 12 12 $0.00
1101F 0% 12 12 $0.00

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.