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

Brian M Lee MD INC

Brian M Lee MD INC was paid $453K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 46% of everything it billed.

33Billing provider infoBRIAN M LEE MD INC
LYNWOOD, CA 90262
33aNPI1518126259assigned 06/06/2008
33bProvider typeNephrology Physician
28Total paid$453K
24GClaims9,663
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#91 of 363
Median peer was paid$80K
This provider vs. median5.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LEE, BRIAN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,585$54K
20191,229$48K
20201,332$58K
2021973$66K
20221,274$80K
20231,290$68K
2024incomplete1,980$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 46% 1,152 1,131 $210K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 37% 7,334 2,079 $169K
90935 Hemodialysis procedure with single evaluation by a physician 5.1% 583 275 $23K
90961 4.8% 177 177 $22K
99255 2.4% 144 140 $11K
90962 2.2% 93 92 $10K
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 1.5% 140 136 $7K
99223 Prolong inpt eval add15 m <1% 27 26 $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% 13 13 $535.80

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.

From NPPES

Who's on the registration

Authorized officialLEE, BRIAN (PHYSICIAN)
Same official

Other billing entities under LEE, BRIAN

Full network →
ProviderLocationPaid
Cornerstone Acupuncture Institute, INC.Irvine, CA$1.73M
Brian G Lee MD PLLCScottsdale, AZ$516K
Braces and Smiles PCForest Hills, NY$445K
Brian E Lee MD LTDLas Vegas, NV$356K
Cornerstone Acupuncture ClinicFullerton, CA$355K
Lab RX LLCFrederick, MD$325K
Quincy Pediatric Dental, P.C.Quincy, MA$190K
Brian S. Lee, DDS, INC.Hawthorne, CA$45K
Lee Physical Therapy, PCMiddleton, ID$44K
DR. Brian Lee, Optometry, PLLCHouston, TX$9K
Wellmate DR Lee Chiropractic Clinic INCLos Angeles, CA$314.49

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.