Physician
Lee, Karen
Lee, Karen was paid $1.02M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 29% of everything it billed.
33Billing provider infoLEE, KAREN
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1629124045assigned 01/26/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.02M
24GClaims65,007
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#278 of 6,049
Median peer was paid$11K
This provider vs. median90×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,311 | $130K | |
| 2019 | 10,841 | $194K | |
| 2020 | 10,328 | $156K | |
| 2021 | 12,689 | $195K | |
| 2022 | 12,120 | $174K | |
| 2023 | 5,427 | $69K | |
| 2024incomplete | 8,291 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 29% | 2,312 | 2,275 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,512 | 3,373 | $285K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.0% | 770 | 758 | $92K |
| 92552 | 7.6% | 2,223 | 2,217 | $77K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.9% | 1,083 | 1,055 | $60K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 2,595 | 2,543 | $47K |
| 90686 | 2.3% | 1,219 | 1,219 | $24K | |
| 90674 | 1.3% | 433 | 433 | $13K | |
| 81002 | 1.2% | 4,935 | 4,899 | $12K | |
| 94010 | 1.2% | 334 | 332 | $12K | |
| 91320 | 1.1% | 153 | 153 | $12K | |
| 3074F | <1% | 4,847 | 4,425 | $10K |
41 more codes
| 3078F | <1% | 4,617 | $9K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 283 | $7K |
| 0013A | <1% | 155 | $6K | |
| 93000 | <1% | 393 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,359 | $5K |
| 0134A | <1% | 124 | $4K | |
| 90682 | <1% | 77 | $4K | |
| 92551 | <1% | 416 | $4K | |
| 90480 | <1% | 153 | $4K | |
| 3079F | <1% | 1,903 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,891 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 71 | $3K |
| 3075F | <1% | 1,429 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 887 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $2K |
| 3077F | <1% | 874 | $2K | |
| 3080F | <1% | 574 | $2K | |
| 0031A | <1% | 43 | $2K | |
| 90661 | <1% | 34 | $1K | |
| 90656 | <1% | 54 | $1K | |
| 91313 | <1% | 118 | $987.83 | |
| 0012A | <1% | 12 | $505.76 | |
| 0011A | <1% | 12 | $505.76 | |
| 90662 | <1% | 53 | $379.53 | |
| 99441 | <1% | 20 | $302.49 | |
| G0008 | Administration of influenza virus vaccine | <1% | 67 | $93.63 |
| 91301 | <1% | 114 | $5.19 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 3,435 | $0.20 |
| 91303 | <1% | 28 | $0.04 | |
| 3725F | 0% | 4,821 | $0.00 | |
| 1032F | 0% | 25 | $0.00 | |
| 2022F | 0% | 49 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 25 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,612 | $0.00 |
| 1000F | 0% | 3,766 | $0.00 | |
| 1036F | 0% | 3,432 | $0.00 | |
| 3017F | 0% | 1,122 | $0.00 | |
| 99429 | 0% | 210 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $0.00 |
| 3014F | 0% | 157 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 126 | $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.