Lee, James
Lee, James was paid $96K by Medicaid between Feb 2023 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoLEE, JAMES
NAPERVILLE, IL 60565
NAPERVILLE, IL 60565
33aNPI1205237104assigned 09/10/2014
33bProvider typePhysical Therapist
28Total paid$96K
24GClaims1,562
24DCodes billed10
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Illinois
Rank by total paid#71 of 690
Median peer was paid$9K
This provider vs. median10×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 749 | $42K | |
| 2024incomplete | 813 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 469 | 344 | $52K |
| 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% | 209 | 187 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.9% | 211 | 202 | $9K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 8.1% | 87 | 71 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.1% | 129 | 124 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.3% | 186 | 161 | $5K |
| 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 | 3.9% | 50 | 46 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 177 | 171 | $3K |
| 87807 | <1% | 14 | 14 | $138.82 | |
| 81002 | <1% | 30 | 27 | $76.70 |
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.