Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Francis Lee (NPI 1043240997)

Field	Value
Entity Type	Individual
Organization	Francis Lee
Address	800 Howard Ave
City	New Haven
State	CT
ZIP	06519
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicare	$11.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	60	$110	$6.8K
99204	The provider sees a new 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 provider…	20	$140	$2.9K
20982	In this procedure, the provider uses radiofrequency ablation, a type of heat energy, that he applies percutaneously, or through the skin, to destroy one or more metastatic bone tumors. He also…	10	$170	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Francis Lee — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,967	6,480	90	$90	$14.2K
99204	1,740	2,660	30	$120	$4.6K
20982	1	10	10	$170	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Mary's Hospital Medical Center Of Green Bay Inc.-hospital Sisters	WI	General Acute Care Hospital	$0	$12.8M
Debbie Lim	WI	Rheumatology Physician	$1.8M	$0
Paul Utrie	WI	Rheumatology Physician	$1.3M	$0
Chakra Chaulagain	FL	Hematology & Oncology Physician	$853.2K	$0
Riley Smyth	WI	Diagnostic Radiology Physician	$805.1K	$320
Michael Avery	WI	Rheumatology Physician	$681.6K	$0
Jeffrey Geller	NY	Orthopaedic Surgery Physician	$464.3K	$0
James Lee	CA	Cardiovascular Disease Physician	$373.1K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
James Gast	WI	Family Medicine Physician	$279.9K	$36.6K

Francis Lee — Billing Profile & Reimbursement Data

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Francis Lee — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References