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

Sung Won Lee MD PC

Sung Won Lee MD PC was paid $862K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoSUNG WON LEE MD PC
PALISADES PARK, NJ 07650
33aNPI1144501362assigned 09/01/2011
28Total paid$862K
24GClaims31,921
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#3 of 6
Median peer was paid$53K
This provider vs. median16×

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$20K$40K2018201920202021202220232024
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
20188,628$308K
20199,935$325K
202012,322$225K
202129$759.87
202215$0.00
2023270$2K
2024incomplete722$937.76
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 7,721 7,188 $320K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 7,410 6,544 $273K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14% 1,864 1,852 $122K
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 3.0% 283 283 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.8% 382 382 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.7% 1,621 1,600 $24K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.4% 264 264 $21K
90686 1.9% 925 925 $17K
93000 <1% 970 956 $8K
90746 <1% 141 141 $8K
90688 <1% 257 257 $4K
96401 <1% 181 181 $3K
32 more codes
94010 <1% 128 $2K
99406 <1% 270 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 60 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 217 $1K
99490 Ccm add 20min <1% 1,443 $1K
92250 <1% 41 $1K
90630 <1% 32 $631.23
93922 <1% 27 $432.45
90662 <1% 201 $332.75
90653 <1% 27 $309.15
G0444 Annual depression screening, 5 to 15 minutes <1% 70 $226.56
G0008 Administration of influenza virus vaccine <1% 257 $91.80
90682 <1% 15 $35.96
G8752 Most recent systolic blood pressure < 140 mmhg 0% 120 $0.00
3078F 0% 760 $0.00
1158F 0% 95 $0.00
3077F 0% 364 $0.00
99072 0% 77 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 26 $0.00
2022F 0% 36 $0.00
3008F 0% 347 $0.00
1101F 0% 330 $0.00
3074F 0% 698 $0.00
3079F 0% 392 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 145 $0.00
1126F 0% 2,283 $0.00
2000F 0% 587 $0.00
0513F 0% 242 $0.00
1125F 0% 312 $0.00
3075F 0% 203 $0.00
3080F 0% 84 $0.00
G0009 Administration of pneumococcal vaccine 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialLEE, SUNGWON (PRESIDENT)