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    OpenPayerNPI Medicare & MedicaidJames Lee
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    James Lee — Billing Profile & Reimbursement Data

    NPI 1245278498 · New York, NY · Surgery Physician

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    James Lee is a surgery physician provider located in New York, New York. 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
    OrganizationJames Lee
    Address161 Fort Washington Ave Fl 8
    CityNew York
    StateNY
    ZIP10032
    TaxonomySurgery Physician
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicare$133.4K
    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
    60500In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…70$810$57K
    60502The provider  removes one or more of the parathyroid glands, which are small endocrine glands that are behind the thyroid gland. Providers perform the procedure  to treat recurrent or persistent…20$1,270$20.3K
    60520The provider removes a part of the thymus gland or the entire gland. The procedure is often done as a result of a benign or malignant tumor on the thymus gland, called a thymoma.20$920$19.3K
    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…70$130$9.2K
    60220This is a procedure involving complete surgical removal of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the…10$540$6.5K
    76998The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.100$60$5.9K
    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…50$100$4.7K
    36500The provider inserts a catheter through a vein to a selected organ for the purpose of withdrawing blood from the organ's blood supply.50$90$4.2K
    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…20$190$2.8K
    60512Providers perform this procedure along with a primary procedure of thyroidectomy or parathyroidectomy. In this procedure, the provider takes the excised parathyroid tissue and places it into a muscle…10$230$2.6K

    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
    6050211020$1,270$20.3K
    6052011020$920$19.3K
    6050013020$800$16.8K
    9921331,19231,44080$70$12.1K
    3157557358060$100$8.8K
    6022041010$630$7.6K
    992043,03214,17030$130$6.6K
    992053,2754,26030$180$6.4K
    992034,03011,36030$90$4.7K
    6051221010$230$3.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trustees Of Columbia University In The City Of New YorkNYSurgery Physician$0$96.9M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$54.9M
    Columbia University Health Care, Inc.NYDental Clinic/Center$0$29M
    Stamford Health Medical Group IncCTGeneral Practice Physician$0$23.5M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$21.4M
    Trustees Of Columbia University In The City Of New YorkNYAnatomic Pathology & Clinical Pathology Physician$254.6K$7.4M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Subhransu RayCARetina Specialist (Ophthalmology) Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The New York And Presbyterian HospitalNYGeneral Acute Care Hospital$0$455.2M
    William SchiffNYOphthalmology Physician$1.9M$430
    Dean PreddieNYNephrology Physician$795.6K$649.2K
    David SilversNYDermatopathology Physician$1.3M$0
    Gaetano BarileNYOphthalmology Physician$1.2M$0
    Mikhail DoubrovinNYNuclear Medicine Physician$1M$117.9K
    Thomas FlynnNYOphthalmology Physician$1M$0
    Philip GreenNYInterventional Cardiology Physician$867.6K$47K
    Seth PullmanNYNeurology Physician$823.2K$31K
    Kimon ViolarisNYPediatrics Physician$853.2K$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. New York Distribution
    James Lee — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York