Lee, Jay
Lee, Jay was paid $1.02M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoLEE, JAY
MANASSAS, VA 20109
MANASSAS, VA 20109
33aNPI1669433686assigned 03/29/2006
33bProvider typeOptometrist
28Total paid$1.02M
24GClaims15,160
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#13 of 491
Median peer was paid$23K
This provider vs. median44×
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 | 1,614 | $148K | |
| 2019 | 1,434 | $110K | |
| 2020 | 1,276 | $98K | |
| 2021 | 1,943 | $131K | |
| 2022 | 3,036 | $184K | |
| 2023 | 3,451 | $209K | |
| 2024incomplete | 2,406 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 39% | 3,904 | 3,715 | $403K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 2,625 | 2,554 | $270K |
| 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 | 17% | 2,104 | 1,918 | $173K |
| 92082 | 5.9% | 1,556 | 1,501 | $60K | |
| 92133 | 3.1% | 976 | 941 | $32K | |
| 92250 | 3.0% | 986 | 967 | $31K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 235 | 226 | $23K |
| 92015 | Determination of refractive state | 1.6% | 1,074 | 1,045 | $16K |
| 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% | 140 | 130 | $8K |
| 76514 | <1% | 594 | 586 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $954.36 |
| 92083 | <1% | 13 | 12 | $833.99 |
2 more codes
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.