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

    NPI 1124237326 · Brookline, MA · Ophthalmology Physician

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    John Lee is a ophthalmology physician provider located in Brookline, Massachusetts. This profile covers 16 Medicare and 3 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
    Address24 Webster Pl
    CityBrookline
    StateMA
    ZIP02445
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$273K
    Medicaid$25.8K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…190$460$87.9K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…800$90$74.6K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$610$22.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.180$110$20.4K
    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…220$70$14.6K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.50$250$12.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$260$9.6K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…210$30$6.6K
    67916During this procedure, the provider uses tarsal wedge excision to repair an ectropion, an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of the…10$530$6.3K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…10$390$4.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984152330170$200$143.2K
    920141251,070160$90$30.1K
    15823134030$610$24.8K
    6682113624040$210$17.4K
    6784093030$200$13.7K
    6790861020$500$11.6K
    9213442167070$30$10.6K
    6791621020$470$9K
    992132,49913,70070$60$8.8K
    920044689040$100$6.3K

    Showing 1–10 of 16

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases260$70$18.7K
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens130$40$5K
    V2781Progressive lens, per lens30$60$2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2020Frames, purchases50130180$20$196.8K
    V2781Progressive lens, per lens111050$70$31.8K
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens113080$40$11.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Howard YingMAOphthalmology Physician$2.5M$149K
    Bryan HongMARetina Specialist (Ophthalmology) Physician$2.5M$0
    Brad BakerMARetina Specialist (Ophthalmology) Physician$2.5M$0
    Marianeli RodriguezMAOphthalmology Physician$2.4M$0
    Kameran LashkariMAOphthalmology Physician$2M$0
    Mehdi NajafiMAOphthalmology Physician$1.8M$0
    Frank MccabeMARetina Specialist (Ophthalmology) Physician$1.5M$0
    Milford-franklin Eye Center, LLCMAAmbulatory Surgical Clinic/Center$1.2M$71.9K
    David GendelmanMAOphthalmology Physician$1.1M$0
    Nicole SiegelMAOphthalmology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Simon FaynzilbergMAPain Medicine (Anesthesiology) Physician$380.3K$150.5K
    Kevin KaufmannMAOphthalmology Physician$330K$0
    Brian LesterMADermatology Physician$285.7K$0
    Joseph HartiganMAPrimary Podiatric Medicine Podiatrist$255.2K$0
    Claudia ArriggMASpecialist$214.6K$0
    Daniel SchwartzMAOphthalmology Physician$214.5K$0
    Ernest KornmehlMAOphthalmology Physician$167.2K$0
    Macie FinkelsteinMAOphthalmology Physician$150.7K$0
    Mitchell RubensteinMADermatology Physician$118.9K$0
    Cyrus YazdiMAPain Medicine (Anesthesiology) Physician$77.1K$0

    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. Massachusetts Distribution
    John Lee — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    John Lee — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts