Physician
Le, John
Le, John was paid $831K by Medicaid between Jan 2018 and Jun 2023, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoLE, JOHN
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1366591695assigned 01/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$831K
24GClaims37,401
24DCodes billed58
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#191 of 2,511
Median peer was paid$13K
This provider vs. median65×
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 | 4,124 | $86K | |
| 2019 | 5,390 | $97K | |
| 2020 | 4,643 | $148K | |
| 2021 | 7,406 | $181K | |
| 2022 | 10,873 | $234K | |
| 2023 | 4,965 | $84K |
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 | 33% | 6,834 | 6,124 | $274K |
| 96156 | 24% | 5,389 | 4,491 | $197K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,427 | 4,010 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.6% | 1,010 | 962 | $63K |
| 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 | 6.0% | 744 | 743 | $50K |
| 99205 | Prolong outpt/office vis | 3.3% | 273 | 270 | $28K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 2.2% | 345 | 314 | $19K |
| 99385 | 1.9% | 183 | 175 | $15K | |
| 97802 | 1.7% | 1,504 | 1,485 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 165 | 161 | $8K |
| 96150 | <1% | 527 | 481 | $7K | |
| 90686 | <1% | 295 | 294 | $6K |
46 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,108 | $6K |
| 92551 | <1% | 319 | $4K | |
| G9920 | Screening performed and negative | <1% | 413 | $4K |
| 99406 | <1% | 1,065 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 44 | $4K |
| 93000 | <1% | 77 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 128 | $2K |
| 99384 | <1% | 24 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | $1K |
| 96127 | <1% | 1,132 | $993.34 | |
| 85018 | <1% | 441 | $899.89 | |
| 97803 | <1% | 36 | $854.41 | |
| 96151 | <1% | 44 | $654.54 | |
| 3008F | <1% | 2,162 | $455.96 | |
| 90756 | <1% | 14 | $400.75 | |
| 1033F | <1% | 1,441 | $264.31 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 58 | $250.00 |
| 99173 | <1% | 229 | $203.55 | |
| 87430 | <1% | 17 | $147.05 | |
| 81002 | <1% | 165 | $145.66 | |
| 1036F | <1% | 428 | $114.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 135 | $98.12 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $65.52 |
| 1031F | <1% | 1,746 | $32.26 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,527 | $1.99 |
| 82948 | <1% | 17 | $1.40 | |
| 80061 | Lipid panel | <1% | 118 | $0.06 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 71 | $0.06 |
| 80053 | Comprehensive metabolic panel | <1% | 133 | $0.06 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 52 | $0.03 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 52 | $0.02 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 69 | $0.01 |
| 2014F | 0% | 52 | $0.00 | |
| 96160 | 0% | 748 | $0.00 | |
| 98960 | 0% | 288 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 3078F | 0% | 56 | $0.00 | |
| 99446 | 0% | 16 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 19 | $0.00 |
| 1034F | 0% | 681 | $0.00 | |
| 3074F | 0% | 84 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 1000F | 0% | 322 | $0.00 | |
| 99386 | 0% | 14 | $0.00 | |
| 3079F | 0% | 28 | $0.00 | |
| 3700F | 0% | 19 | $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.