Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lee, Alexander

Lee, Alexander was paid $63K by Medicaid between Jan 2018 and Mar 2022, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 62% of everything it billed.

33Billing provider infoLEE, ALEXANDER
SAN JOSE, CA 95117
33aNPI1497834147assigned 11/03/2006
33bProvider typeOphthalmology Physician
28Total paid$63K
24GClaims11,715
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#321 of 759
Median peer was paid$35K
This provider vs. median1.8×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,598$18K
20192,087$23K
20203,501$9K
20213,904$11K
2022625$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 62% 1,025 1,025 $39K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29% 3,535 3,534 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 8.0% 946 946 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 99 99 $586.51
92020 <1% 14 14 $61.97
2022F <1% 518 518 $60.00
2027F 0% 55 55 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 75 75 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 354 354 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,029 1,029 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 0% 93 93 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 637 637 $0.00
4 more codes
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 0% 42 $0.00
1036F 0% 2,248 $0.00
1123F 0% 1,029 $0.00
4177F 0% 16 $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.