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

Shum, Lee Ming

Shum, Lee Ming was paid $126K by Medicaid between Oct 2020 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoSHUM, LEE MING
MAYAGUEZ, PR 00680
33aNPI1568741387assigned 08/10/2011
33bProvider typeRheumatology Physician
28Total paid$126K
24GClaims1,622
24DCodes billed4
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Puerto Rico

Rank by total paid#8 of 31
Median peer was paid$9K
This provider vs. median13×

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$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
202033$2K
2021235$13K
2022371$21K
2023397$33K
2024incomplete586$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78% 1,353 1,255 $98K
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 11% 112 75 $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 10% 136 127 $13K
99442 <1% 21 13 $1K

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.