Physician
Lee, James
Lee, James was paid $19K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is G0442, Annual alcohol misuse screening, 5 to 15 minutes — 35% of everything it billed.
33Billing provider infoLEE, JAMES
WEST SACRAMENTO, CA 95691
WEST SACRAMENTO, CA 95691
33aNPI1366476970assigned 07/10/2006
33bProvider typeFamily Medicine Physician
28Total paid$19K
24GClaims6,859
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,142 of 2,511
Median peer was paid$13K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 1,119 | $2K | |
| 2019 | 1,381 | $2K | |
| 2020 | 1,219 | $4K | |
| 2021 | 1,315 | $5K | |
| 2022 | 1,040 | $4K | |
| 2023 | 571 | $1K | |
| 2024incomplete | 214 | $244.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 35% | 398 | 395 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,871 | 3,551 | $6K |
| 90686 | 17% | 167 | 166 | $3K | |
| 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 | 15% | 2,286 | 2,190 | $3K |
| 90688 | 1.8% | 17 | 17 | $343.19 | |
| 99490 | Ccm add 20min | <1% | 43 | 43 | $123.39 |
| 90660 | <1% | 12 | 12 | $116.88 | |
| 92551 | <1% | 38 | 38 | $44.88 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 27 | 27 | $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.