Lee, Andrew

Lee, Andrew was paid $60K by Medicaid between Dec 2018 and Oct 2024, across 10 billing codes. Its largest line is 92060, — 44% of everything it billed.

33Billing provider infoLEE, ANDREW
SAINT LOUIS, MO 63110

33aNPI1992140958assigned 05/03/2013

33bProvider typeOphthalmology Physician

28Total paid$60K

24GClaims1,220

24DCodes billed10

24AFirst – last monthDec 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Missouri

Rank by total paid#26 of 83

Median peer was paid$19K

This provider vs. median3.2×

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	13	$2K
2019	419	$25K
2020	90	$7K
2021	185	$8K
2022	179	$6K
2023	194	$7K
2024incomplete	140	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		44%	717	630	$26K
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	23%	128	121	$14K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	15%	182	171	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.6%	57	57	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.0%	46	46	$3K
92226		2.4%	24	15	$1K
92225		1.8%	17	14	$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	1.3%	20	19	$813.08
92201		<1%	14	12	$377.95
92015	Determination of refractive state	<1%	15	15	$252.44

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.