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    OpenPayerNPI Medicare & MedicaidFranklin Lee
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    Franklin Lee — Billing Profile & Reimbursement Data

    NPI 1184949588 · Aiea, HI · Urology Physician

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    Franklin Lee is a urology physician provider located in Aiea, Hawaii. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFranklin Lee
    Address98-151 Pali Momi St Ste 142
    CityAiea
    StateHI
    ZIP96701
    TaxonomyUrology Physician
    NPI EnumeratedMarch 29, 2010

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

    Payer SourceTotal Paid
    Medicare$74.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$50$27K
    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…160$70$11.4K
    53854The provider uses a radiofrequency–generated water vapor thermal device to destroy prostate tissue to treat BPH and lower urinary tract symptoms.30$310$8.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$60$5.6K
    99442N/A120$50$5.6K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$330$4.9K
    99204The 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…40$90$3.7K
    55700Code deleted December 31, 2025.30$110$3.3K
    99203The provider sees a new 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 provider…60$50$3.1K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…10$110$1.5K

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,5701,440100$80$15.2K
    52310491010$500$9.5K
    52000732050$150$9.1K
    992132131,46070$60$8.4K
    52356501010$490$7.4K
    55700331030$250$6.6K
    992041,75463030$110$5.3K
    9920374345030$70$3.6K
    99442179020$60$2.7K
    5385410N/A$N/A$N/A

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kapiolani Medical Center For Women & ChildrenHIChildren's Hospital$0$102.4M
    Straub Clinic & HospitalHIGeneral Acute Care Hospital$0$45.6M
    King County Public Hospital District No. 2WAGeneral Acute Care Hospital$0$31.5M
    Public Hospital District 1 Of Snohomish CountyWAGeneral Acute Care Hospital$0$11.2M
    Straub Clinic & HospitalHIMulti-Specialty Clinic/Center$0$8.2M
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Kapiolani Medical Center For Women & ChildrenHIMulti-Specialty Clinic/Center$0$3.3M
    Straub Clinic & HospitalHICommunity/Retail Pharmacy$0$984.9K
    Devy SetyonoHIRheumatology Physician$712.5K$0
    Manas JainWAUrology Physician$489.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Services, IncHIClinical Medical Laboratory$10.5M$46M
    Pali Momi Medical CenterHIGeneral Acute Care Hospital$0$49.3M
    Dlmc, Inc.HIHome Health Agency$0$39.5M
    Usrc Pearlridge, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.7M
    International Life Support IncHIAmbulance$1.2M$8.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.8M
    Pharmacare International, Inc.HICommunity/Retail Pharmacy$125.1K$4.7M
    Emergency Medicine Physicians Of Honolulu Pali Momi, LLCHIEmergency Medicine Physician$0$4.2M
    Absolute Care Management ServicesHIPoint of Service$0$3.2M
    Derek B Tom Dds LLCHIPediatric Dentistry$0$2.6M

    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. Hawaii Distribution
    Franklin Lee — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii