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    OpenPayerNPI Medicare & MedicaidYong Lee
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    Yong Lee — Billing Profile & Reimbursement Data

    NPI 1013025915 · Shanghai, XX · Family Medicine Physician

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    Yong Lee is a family medicine physician provider located in Shanghai, Unspecified Location. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationYong Lee
    Address888 Tianlin Lu, Building 1e,
    CityShanghai
    StateXX (Unspecified Location)
    ZIP20023
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 29, 2006

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

    Payer SourceTotal Paid
    Medicare$43.8K
    Medicaid$0

    Key Findings

    Provider YONG LEE is a Family Medicine Physician with an NPI enumerated 2006-08-29 (~20 years ago) and has generated $43.8K in total Medicare revenue; there is no Medicaid billing on file, so the provider’s public payer footprint is effectively single-payer Medicare. The absence of any Medicaid claims indicates limited engagement with state Medicaid programs in the data provided, not necessarily clinical scope or patient mix outside Medicare.

    Revenue is highly concentrated in three codes: 99214 ($21.5K, 49.1%), 99213 ($6.8K, 15.5%), and 90677 ($6.2K, 14.2%) — these top three codes together account for 78.7% of the provider’s total Medicare revenue. That concentration shows a narrow set of services driving the vast majority of billings rather than a broad procedural mix.

    The code mix points to a routine primary care operating model: dominant E/M office visits (99214 and 99213) alongside preventive vaccination activity (90677, 90694, G0008, G0009) and a small volume of minor procedures (20610, J3301). Presence of 99441 suggests some telephone E/M encounters are billed as well; overall this profile aligns with office-based family medicine emphasizing chronic care visits and immunizations rather than procedure-heavy specialty work.

    Competitive standing on Medicare is modest: 99214 ranks #112201 of 479517 providers (77th percentile; typical, unremarkable volume for this code), 99213 ranks #172163 of 457151 providers (62th percentile; typical, unremarkable volume for this code), and 90677 ranks #23252 of 52451 providers (53th percentile; typical, unremarkable volume for this code). By contrast, higher-complexity visits (99215) are a much smaller share ($2.3K, 5.3%) and rank #121986 of 145531 (14th percentile; typical, unremarkable volume for this code), indicating the provider does not generate above-average volume for the most complex outpatient visit code nationally.

    Operationally the provider leverages relatively low per-visit Medicare payments for office E/M: 99214 average paid/claim is $79 and 99213 average paid/claim is $61, while vaccinations can be revenue-efficient — 90677 shows a $282 avg paid/claim and produces $6.2K from only 22 claims. This pattern (higher unit reimbursement for vaccine product codes versus lower unit E/M payments) helps explain how a small number of immunization claims materially contribute to overall revenue.

    Several codes indicate only minimal revenue contribution or low unit payments: J3301 reports 103 claims but only $1 avg paid/claim for $103 total (0.2% of Medicare revenue), and procedure 20610 accounts for $833 (1.9%). These entries confirm the practice’s revenue stream is dominated by visits and select vaccines rather than injectable therapeutics or procedural volumes.

    Taken together, the data portray a long-tenured, small-scale Medicare-focused family medicine practice with concentrated revenue streams in mid-level E/M visits and a few vaccine codes; national ranks place the provider as a modest participant (above-median on some core E/M codes but not a dominant national outlier), and the lack of Medicaid billing on file means payers should treat this entity as effectively single-payer Medicare in the available claims record.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…270$80$21.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…110$60$6.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$6.2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…40$80$2.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$140$2.3K
    G0008Administration of influenza virus vaccine40$30$1.4K
    99441N/A20$50$1.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$50$830
    G0009Administration of pneumococcal vaccine20$30$760
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg100$1$100

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213310140$60$18.8K
    9921431080$90$15.8K
    9921551060$110$13.3K
    G000811040$30$1.3K
    G000911010$30$370
    2061010N/A$N/A$N/A
    9067710N/A$N/A$N/A
    9069410N/A$N/A$N/A
    9944110N/A$N/A$N/A
    J330110N/A$N/A$N/A

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul DatoCAUrology Physician$2M$0
    Babita SethiFLDiagnostic Radiology Physician$513.3K$0
    Sharp HealthcareCAClinical Medical Laboratory$498.4K$970
    Joseph PachorekCAInternal Medicine Physician$480.1K$0
    Sharp HealthcareCAClinical Medical Laboratory$440.3K$530
    Matthew LecomteAZDiagnostic Radiology Physician$428K$0
    Terry BehrendCANephrology Physician$425.9K$0
    Oday SaeedCANephrology Physician$391.6K$0
    David SheinbeinMODermatology Physician$356K$0
    Ramesh MoolaniCAHematology & Oncology Physician$247K$5.5K

    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. Unspecified Location Distribution
    Yong Lee — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location