James Lee MD PC
James Lee MD PC was paid $450K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
COLORADO SPRINGS, CO 80920
Next to other Ophthalmology Physician providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 605 | $34K | |
| 2019 | 1,016 | $46K | |
| 2020 | 584 | $32K | |
| 2021 | 1,128 | $60K | |
| 2022 | 2,592 | $117K | |
| 2023 | 1,922 | $79K | |
| 2024incomplete | 1,645 | $83K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 45% | 3,514 | 3,250 | $201K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,536 | 1,319 | $97K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 1,172 | 936 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 892 | 722 | $46K |
| 92134 | 5.6% | 1,398 | 1,245 | $25K | |
| 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 | 1.5% | 118 | 108 | $7K |
| 92133 | 1.4% | 270 | 247 | $7K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.3% | 99 | 89 | $6K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 23 | 16 | $4K |
| 92083 | <1% | 102 | 100 | $3K | |
| 92025 | <1% | 87 | 82 | $2K | |
| 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 | <1% | 12 | 12 | $2K |
3 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.