Lee, John

Lee, John was paid $291K by Medicaid between Jan 2018 and Feb 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoLEE, JOHN
CHICAGO, IL 60626

33aNPI1043227291assigned 08/01/2006

33bProvider typePediatrics Physician

28Total paid$291K

24GClaims8,556

24DCodes billed21

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#429 of 1,805

Median peer was paid$55K

This provider vs. median5.3×

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	7,321	$247K
2019	1,235	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	1,949	1,505	$90K
92586		14%	1,072	868	$42K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	13%	448	332	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	13%	483	373	$37K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.8%	256	168	$20K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.1%	1,127	964	$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	5.6%	225	196	$16K
90686		2.5%	805	696	$7K
99173		2.4%	987	856	$7K
90649		1.8%	220	187	$5K
96111		<1%	230	150	$2K
90620		<1%	48	44	$2K

9 more codes

D1206	Topical application of fluoride varnish	<1%	53	$1K
36415	Collection of venous blood by venipuncture	<1%	328	$1K
90734		<1%	50	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	37	$949.05
90715		<1%	70	$922.46
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	$903.76
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$716.71
90700		<1%	54	$362.00
90685		<1%	42	$347.20

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.