Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEE, ALEXANDER

NPI: 1497834147 · SAN JOSE, CA 95117 · Ophthalmology Physician · NPI assigned 11/03/2006

$63K
Total Medicaid Paid
11,715
Total Claims
11,712
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,598 $18K
2019 2,087 $23K
2020 3,501 $9K
2021 3,904 $11K
2022 625 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,025 1,025 $39K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,535 3,534 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 946 946 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 99 99 $586.51
92020 14 14 $61.97
2022F 518 518 $60.00
2027F 55 55 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 75 75 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 354 354 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,029 1,029 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 93 93 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 637 637 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 42 42 $0.00
1036F 2,248 2,246 $0.00
1123F 1,029 1,029 $0.00
4177F 16 16 $0.00