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    OpenPayerNPI Medicare & MedicaidJohn Lee
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    John Lee — Billing Profile & Reimbursement Data

    NPI 1003063397 · Lake Forest, IL · Anatomic Pathology & Clinical Pathology Physician

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    John Lee is a anatomic pathology & clinical pathology physician provider located in Lake Forest, Illinois. This profile covers 18 Medicare and 129 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Lee
    Address660 N Westmoreland Rd
    CityLake Forest
    StateIL
    ZIP60045
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 19, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$104.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,350$30$37.7K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…260$60$16.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…410$30$11.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…480$20$10.4K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…290$30$9.6K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…40$110$4K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.60$60$3.1K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…170$20$3K
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…60$30$1.5K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.70$20$1.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830595580610$30$38.2K
    8834169450210$30$11.9K
    8834236490120$40$9K
    883601126060$60$7.7K
    86077223070$40$7.1K
    883071339080$70$6.1K
    8831223631040$50$5.7K
    881739421050$60$3.9K
    8831314228060$30$3.8K
    883092017020$110$2.5K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    129 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.34,300$10$171.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…48,510$1$145.5K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…26,020$1$104.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,170$40$88.8K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.24,450$1$73.3K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…13,280$1$53.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…7,910$10$47.5K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…15,810$1$47.4K
    83690The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.13,470$1$40.4K
    0241UN/A5,820$10$34.9K

    Showing 1–10 of 129

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    129 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…252350400$70$514.7K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…4550270$230$271.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.742801,120$30$218.9K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…83250450$40$185.7K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.28110150$40$184.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.132360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.131360630$30$165K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.61160300$20$145.2K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…81110200$40$111.1K
    0241UN/A8260120$100$91.8K

    Showing 1–10 of 129

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John Lee, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer Bellucci JacksonILFamily Medicine Physician$260.2K$18.9M
    Gregory RetzingerOHClinical Pathology/Laboratory Medicine Physician$43K$12.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Jonathan ParkerILFamily Medicine Physician$356.8K$4.3M
    Ajay PatelILAnatomic Pathology & Clinical Pathology Physician$65.4K$4.2M
    Mary UckermanILAnatomic Pathology & Clinical Pathology Physician$33.5K$4.2M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    John MichaelILOphthalmology Physician$2M$1.9M
    Rumya RaoILRetina Specialist (Ophthalmology) Physician$1.7M$2M
    Veerpal SinghILHematology & Oncology Physician$3.4M$67.3K

    Nearby Providers

    Other providers in the same ZIP code as John Lee, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer CapezioILRheumatology Physician$1.3M$6.2K
    Thomas MientusILAnatomic Pathology & Clinical Pathology Physician$1.1M$133K
    Patrick OnkkaILRheumatology Physician$1.1M$23.7K
    Kathryn KiehnILRheumatology Physician$791.2K$4.6K
    Julia SunILRheumatology Physician$548.6K$17K
    Charulatha NagarILNeurology Physician$518.7K$6K
    Mark BerkILDermatology Physician$391.7K$110K
    Michael McguireILUrology Physician$337.2K$153.7K
    Mugurel BazavanILAdvanced Heart Failure and Transplant Cardiology Physician$273.4K$149.6K
    Michael KellerILPulmonary Disease Physician$264.5K$95.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    John Lee — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    John Lee — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois