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

Lee, John

Lee, John was paid $105K by Medicaid between Aug 2020 and Jun 2022, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 73% of everything it billed.

33Billing provider infoLEE, JOHN
BLOOMINGTON, IN 47408
33aNPI1093246001assigned 03/22/2017
28Total paid$105K
24GClaims443
24DCodes billed5
24AFirst – last monthAug 2020 – Jun 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#101 of 191
Median peer was paid$126K
This provider vs. median0.8×

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$10K$20K$30K2018201920202021202220232024
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
2020146$38K
2021214$47K
202283$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 73% 317 281 $77K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 21% 61 55 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.6% 37 34 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.8% 15 13 $2K
80048 Basic metabolic panel (calcium, ionized) 1.4% 13 12 $1K

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.