Lee, John

Lee, John was paid $6K by Medicaid between Sep 2020 and May 2021, across 4 billing codes. Its largest line is 20552, — 56% of everything it billed.

33Billing provider infoLEE, JOHN
PITTSBURGH, PA 15236

33aNPI1811187099assigned 07/25/2007

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$6K

24GClaims390

24DCodes billed4

24AFirst – last monthSep 2020 – May 2021

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania

Rank by total paid#82 of 148

Median peer was paid$8K

This provider vs. median0.9×

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.

OIG exclusionListed on the federal exclusion list (02/20/2024).

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	160	$2K
2021	230	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20552		56%	234	228	$4K
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	22%	49	49	$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	17%	54	54	$1K
20610		5.7%	53	48	$370.66

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.