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

Brian G Lee MD PLLC

Brian G Lee MD PLLC was paid $516K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 31295, — 35% of everything it billed.

33Billing provider infoBRIAN G LEE MD PLLC
SCOTTSDALE, AZ 85251
33aNPI1811365703assigned 09/09/2015
33bProvider typeOtolaryngology Physician
28Total paid$516K
24GClaims3,391
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Otolaryngology Physician providers in Arizona

Rank by total paid#9 of 35
Median peer was paid$65K
This provider vs. median7.9×

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.

Entity ProliferationAuthorized official LEE, BRIAN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
2018236$15K
2019177$16K
2020267$29K
20211,270$336K
2022830$98K
2023458$13K
2024incomplete153$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31295 35% 182 123 $178K
31231 20% 789 758 $105K
31298 19% 28 28 $97K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.6% 516 498 $29K
31237 5.3% 133 94 $27K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.8% 671 606 $25K
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 4.6% 244 234 $24K
30140 4.3% 170 116 $22K
70486 1.5% 413 400 $7K
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 <1% 28 28 $2K
95115 <1% 179 102 $516.04
95117 <1% 23 14 $70.02
1 more codes
92567 <1% 15 $51.64

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.

From NPPES

Who's on the registration

Authorized officialLEE, BRIAN (OWNER)
Same official

Other billing entities under LEE, BRIAN

Full network →
ProviderLocationPaid
Cornerstone Acupuncture Institute, INC.Irvine, CA$1.73M
Brian M Lee MD INCLynwood, CA$453K
Braces and Smiles PCForest Hills, NY$445K
Brian E Lee MD LTDLas Vegas, NV$356K
Cornerstone Acupuncture ClinicFullerton, CA$355K
Lab RX LLCFrederick, MD$325K
Quincy Pediatric Dental, P.C.Quincy, MA$190K
Brian S. Lee, DDS, INC.Hawthorne, CA$45K
Lee Physical Therapy, PCMiddleton, ID$44K
DR. Brian Lee, Optometry, PLLCHouston, TX$9K
Wellmate DR Lee Chiropractic Clinic INCLos Angeles, CA$314.49

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.