Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bay Shore › NPI 1477845956
Physician

Lee, Michael

Lee, Michael was paid $80K by Medicaid between Jan 2019 and Mar 2024, across 31 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 22% of everything it billed.

33Billing provider infoLEE, MICHAEL
BAY SHORE, NY 11706
33aNPI1477845956assigned 05/03/2011
33bProvider typePediatrics Physician
28Total paid$80K
24GClaims5,724
24DCodes billed31
24AFirst – last monthJan 2019 – Mar 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#732 of 1,983
Median peer was paid$17K
This provider vs. median4.7×

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$5.0K$10K2018201920202021202220232024
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
20192,158$0.00
2021940$19K
2022720$18K
2023933$23K
2024incomplete973$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 22% 356 355 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 195 195 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 132 132 $9K
90461 11% 191 190 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9.1% 514 432 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 7.7% 281 280 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.1% 91 88 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 53 53 $3K
92587 3.4% 115 114 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.3% 34 34 $2K
92551 1.8% 107 107 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 13 13 $1K
19 more codes
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.6% 92 $1K
81000 <1% 155 $521.66
83655 <1% 15 $163.50
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16 $111.84
1031F <1% 597 $25.00
90671 0% 26 $0.00
99080 0% 2,158 $0.00
90670 0% 12 $0.00
99177 0% 73 $0.00
90681 0% 12 $0.00
99173 0% 61 $0.00
90697 0% 43 $0.00
97802 0% 208 $0.00
90686 0% 26 $0.00
90677 0% 50 $0.00
99000 0% 46 $0.00
90674 0% 18 $0.00
36416 0% 16 $0.00
96127 0% 18 $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.