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

    NPI 1033152145 · Philadelphia, PA · Neurological Surgery Physician

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    John Lee is a neurological surgery physician provider located in Philadelphia, Pennsylvania. This profile covers 12 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Lee
    Address3400 Spruce Street
    CityPhiladelphia
    StatePA
    ZIP19104
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$217.2K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61798In this procedure, the provider uses externally generated ionized radiation to destroy a single, complex cranial lesion in the target area in the brain. The targeted lesion is complex, which…60$1,200$67.1K
    61458In this procedure, the provider removes a small portion of skull at the back of the head to explore the lower back portion of the brain and the cranial nerves or free one or more of the cranial…20$1,750$40.3K
    99205The provider sees a new 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 provider…150$150$22K
    61796In this procedure, the provider uses externally generated ionized radiation to destroy a single, simple cranial lesion in the target area in the brain. The targeted lesion is simple, which typically…20$890$18.6K
    61799In this add–on procedure, the provider uses externally generated ionized radiation to destroy each additional target area in the brain after destruction of a first complex cranial lesion at the same…60$260$15.3K
    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…200$70$14.5K
    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…90$110$10.4K
    61800In this add on procedure, the provider applies a stereotactic head frame to a patient’s head prior to stereotactic radiosurgery. He attaches the frame to use with image scanning to identify and…80$130$10K
    69990Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.50$180$8.5K
    61797In this add–on procedure, the provider uses externally generated ionized radiation to destroy each additional target area in the brain after destruction of a first cranial lesion at the same session.…30$190$6.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6179811040$1,150$43.8K
    6145811020$1,750$40.3K
    6179911060$260$15.4K
    6179631020$830$14.9K
    992146,96223,230100$80$14.5K
    992151,5377,17040$120$8.6K
    6179741050$180$8.4K
    9921318,80222,37070$60$7.7K
    99205193,09020$150$4.9K
    61781132020$190$4.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Of Penn-medical GroupPAEmergency Medicine Physician$0$21.5M
    University Of Penn-medical GroupPADiagnostic Radiology Physician$0$17.7M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    Bruce SaranPAOphthalmology Physician$2.9M$0
    University Of Penn-medical GroupPAClinical Medical Laboratory$1.2M$1.3M
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Aimee KrauszPADermatology Physician$1.4M$0
    Phoebe MellenPAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Hospital Of PhiladelphiaPAChildren's Hospital$0$286.9M
    Trustees Of The University Of PennsylvaniaPAGeneral Acute Care Hospital$0$84M
    House House Rehabilitation ServicesPACommunity/Behavioral Health Agency$0$32.8M
    Childrens Health Care Associates, IncPAPediatric Emergency Medicine (Emergency Medicine) Physician$0$24.2M
    Presbyterian Medical Center Of The University Of Pennsylvania Health SPAGeneral Acute Care Hospital$0$23.3M
    Horizon House, Inc.PACommunity/Behavioral Health Agency$0$13.9M
    Tricounty Medical Equipment And Supply, LLCPADurable Medical Equipment & Medical Supplies$0$13.1M
    Dunbar Strategic Consulting GroupPACommunity/Behavioral Health Agency$0$10.8M
    Intercultural Family Services, Inc.PAHealth Service Psychologist$0$10.7M
    Aspire Autism Inc.PACommunity/Behavioral Health Agency$0$9.9M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    John Lee — 4 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania