Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JAMES LEE MD PC

NPI: 1144427899 · COLORADO SPRINGS, CO 80920 · Ophthalmology Physician · NPI assigned 06/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LEE, JAMES controls 15+ related entities in our dataset. Read more

$450K
Total Medicaid Paid
9,492
Total Claims
8,384
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, JAMES (OWNER)
NPI Enumeration Date06/27/2007

Related Entities

Other providers sharing the same authorized official: LEE, JAMES

ProviderCityStateTotal Paid
KONA HOSPITAL KEALAKEKUA HI $22.27M
ADVENTIST HEALTHCARE, INC. ROCKVILLE MD $9.70M
ADVENTIST HEALTHCARE, INC. SILVER SPRING MD $4.50M
ADVENTIST HEALTHCARE URGENT CARE CENTERS INC ROCKVILLE MD $1.56M
PURE DENTAL, PC FLUSHING NY $1.24M
ACCESS HOME MEDICAL LLC SUMTER SC $520K
ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC ROCKVILLE MD $470K
PEAK SURGERY CENTER LLC COLORADO SPRINGS CO $36K
ASCENSION BEHAVIORAL HEALTHCARE, P.A. ROCK HILL SC $23K
HEARTCARE, PC CULLMAN AL $8K
DR KEITH LEE-INTEGRATIVE MENTAL HEALTH, LLC OWENSBORO KY $6K
ENT & ALLERGY SPECIALISTS OF VIRGINIA PC ASHBURN VA $1K
OUTPATIENT BIOPSY CENTER ALHAMBRA CA $430.63
ADVENTIST HEALTHCARE, INC. ROCKVILLE MD $0.00
VASCULAR CENTER OF INTERVENTION, INC. FRESNO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 605 $34K
2019 1,016 $46K
2020 584 $32K
2021 1,128 $60K
2022 2,592 $117K
2023 1,922 $79K
2024 1,645 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,514 3,250 $201K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,536 1,319 $97K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,172 936 $49K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 892 722 $46K
92134 1,398 1,245 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 108 $7K
92133 270 247 $7K
67028 Intravitreal injection of a pharmacologic agent 99 89 $6K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 23 16 $4K
92083 102 100 $3K
92025 87 82 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
92020 13 13 $202.86
92015 Determination of refractive state 242 232 $171.36
76514 14 13 $100.67