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

Martin H. Lee, M.D., INC

Martin H. Lee, M.D., INC was paid $77K by Medicaid between Jan 2018 and Aug 2020, across 11 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 40% of everything it billed.

33Billing provider infoMARTIN H. LEE, M.D., INC
LOS ANGELES, CA 90017
33aNPI1982795472assigned 09/27/2006
28Total paid$77K
24GClaims3,820
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#171 of 363
Median peer was paid$55K
This provider vs. median1.4×

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

$0$5.0K$10K2018201920202021202220232024
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
20182,842$56K
2019746$14K
2020232$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 40% 520 495 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 1,179 1,110 $20K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 21% 1,242 429 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 8.5% 217 216 $6K
43246 1.4% 12 12 $1K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1.2% 265 251 $882.43
99152 <1% 20 13 $403.76
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $346.55
90756 <1% 45 45 $163.99
G0008 Administration of influenza virus vaccine 0% 33 33 $0.00
36415 Collection of venous blood by venipuncture 0% 275 271 $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.

From NPPES

Who's on the registration

Authorized officialLEE, MARTIN (PRESIDENT)
Same official

Other billing entities under LEE, MARTIN

Full network →
ProviderLocationPaid
Los Angeles Gastroenterology Associates INCLos Angeles, CA$4K

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