Lee, James

Lee, James was paid $26K by Medicaid between Feb 2020 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoLEE, JAMES
BINGHAMTON, NY 13905

33aNPI1790773471assigned 10/07/2005

33bProvider typeMedical Oncology Physician

28Total paid$26K

24GClaims1,272

24DCodes billed4

24AFirst – last monthFeb 2020 – Nov 2024

Compared with peers

Next to other Medical Oncology Physician providers in New York

Rank by total paid#21 of 84

Median peer was paid$6K

This provider vs. median4.0×

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
2020	103	$1K
2021	252	$4K
2022	218	$5K
2023	306	$7K
2024incomplete	393	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	77%	799	708	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	306	293	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	47	37	$124.40
36415	Collection of venous blood by venipuncture	<1%	120	95	$112.03

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.