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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWai Lee
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    Wai Lee — Billing Profile & Reimbursement Data

    NPI 1265435861 · Elkhart, IN · Cardiovascular Disease Physician

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    Wai Lee is a cardiovascular disease physician provider located in Elkhart, Indiana. This profile covers 43 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
    OrganizationWai Lee
    Address303 S Nappanee St
    CityElkhart
    StateIN
    ZIP46514
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 27, 2005

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

    Payer SourceTotal Paid
    Medicare$381.3K
    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,330$80$191.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…390$90$34.3K
    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…330$60$18.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…370$50$18K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…140$120$16.5K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…80$200$15.7K
    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…110$110$11.6K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…170$50$9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…140$50$7.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$90$5.2K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214510,540110$80$15.5K
    93306115490220$60$14.3K
    992332352,72080$90$13.4K
    992323,1053,97090$60$11.8K
    934584120040$180$9.3K
    8444311819070$20$8.6K
    992233323,08040$120$8.2K
    992131,08610,82080$50$7.6K
    800618823070$10$7.3K
    992152,5802,73030$110$7.1K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elkhart General Hospital, Inc.INGeneral Acute Care Hospital$0$25.6M
    Privia Medical Group Indiana, LLCINMulti-Specialty Clinic/Center$0$2.6M
    Gordon HughesINRheumatology Physician$2M$0
    James JinINMedical Oncology Physician$1.2M$0
    Ahsanul HaqueINHematology & Oncology Physician$831K$0
    Pavan AhujaINInternal Medicine Physician$501.5K$0
    William BuckleyINInternal Medicine Physician$381.3K$0
    Kamran SiddiquiINInternal Medicine Physician$326.8K$0
    Carolyn HudsonINInternal Medicine Physician$314.7K$0
    Minnie EnriquezINInternal Medicine Physician$270.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elite Emergency Physicians IncINEmergency Medicine Physician$0$21.5M
    Beacon Medical Group, Inc.INCritical Care Medicine (Internal Medicine) Physician$0$4.6M
    Orthopedic And Sports Medicine Center Of Northern Indiana, IncINOrthopaedic Surgery Physician$0$3.1M
    Asc Surgical Ventures, LLCINAmbulatory Surgical Clinic/Center$1.5M$17.2K
    Whitney BolingINOphthalmology Physician$724K$0
    Roger MooreINDermatology Physician$693.9K$0
    Edith CullenINSports Medicine (Family Medicine) Physician$676.7K$0
    Northern Indiana Ambulatory Surgery CenterINAmbulatory Surgical Clinic/Center$525.2K$7K
    Elkhart Day Surgery, LLCINAmbulatory Surgical Clinic/Center$516K$3.6K
    Kevin DietrichINOphthalmology Physician$209.8K$250

    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. Indiana Distribution
    Wai Lee — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana