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

Walter J Lee MD PC

Walter J Lee MD PC was paid $157K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 75% of everything it billed.

33Billing provider infoWALTER J LEE MD PC
BRIGHTON, MA 02135
33aNPI1043409782assigned 10/18/2007
28Total paid$157K
24GClaims6,306
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#169 of 1,270
Median peer was paid$8K
This provider vs. median19×

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$5.0K$10K$15K2018201920202021202220232024
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
20183,401$89K
20192,679$58K
2020226$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 75% 4,603 4,340 $118K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 504 476 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.4% 334 317 $7K
99304 3.6% 193 188 $6K
99310 Prolong nursin fac eval 15m 2.3% 134 133 $4K
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 1.6% 60 58 $2K
99397 1.2% 15 14 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 463 436 $707.08

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.

From NPPES

Who's on the registration

Authorized officialLEE, WALTER (OWNER)
Same official

Other billing entities under LEE, WALTER

Full network →
ProviderLocationPaid
Desoto Parish School BoardMansfield, LA$704K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.