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

Lee, James

Lee, James was paid $6K by Medicaid between Aug 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoLEE, JAMES
FRESNO, CA 93710
33aNPI1083655534assigned 06/08/2006
28Total paid$6K
24GClaims3,796
24DCodes billed12
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers

Next to other Vascular Surgery Physician providers in California

Rank by total paid#63 of 91
Median peer was paid$17K
This provider vs. median0.3×

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

$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
201891$37.50
2019323$1K
2020359$37.50
2021504$188.65
2022768$561.94
20231,240$2K
2024incomplete511$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 1,907 1,815 $1K
93990 20% 558 555 $1K
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 19% 277 275 $1K
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 16% 315 296 $935.58
36465 10% 73 64 $572.74
93970 9.2% 275 275 $526.40
93925 1.7% 180 180 $96.87
99153 Mod sedat endo service >5yrs 1.0% 12 12 $57.40
99152 <1% 12 12 $53.12
76937 <1% 12 12 $25.34
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 24 24 $0.00
93971 0% 151 136 $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.