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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Lee
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    Justin Lee — Billing Profile & Reimbursement Data

    NPI 1285808741 · Durham, NC · Sports Medicine (Family Medicine) Physician

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    Justin Lee is a sports medicine (family medicine) physician provider located in Durham, North Carolina. 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
    OrganizationJustin Lee
    Address3708 Mayfair St
    CityDurham
    StateNC
    ZIP27707
    TaxonomySports Medicine (Family Medicine) Physician
    NPI EnumeratedApril 16, 2008

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

    Payer SourceTotal Paid
    Medicare$43.2K
    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
    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…180$90$15.2K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…170$80$14.5K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose80$60$4.6K
    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…50$60$2.7K
    99215The provider sees an established 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…20$130$2K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…30$40$1.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$900
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.30$30$880
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$50$820
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg430$1$430

    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
    992146,57018,060110$80$15.1K
    J7321194080$60$10.3K
    992154,9715,72040$110$7.7K
    9921310,00616,32070$50$7.1K
    206112420050$70$6.4K
    206101,4411,62060$50$5.1K
    992121,8182,89030$30$2.1K
    2055020937030$40$1.9K
    7694212944020$30$980
    J33015161,820190$1$370

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Outreach, LLCNCCommunity/Behavioral Health Agency$0$47.6M
    Alpha Management Services, Inc.NCCommunity/Behavioral Health Agency$0$18.9M
    Lincoln Community Health Center IncorporatedNCFederally Qualified Health Center (FQHC)$0$18.1M
    Alpha Management Community Services, IncNCCommunity/Behavioral Health Agency$0$14.7M
    Youth Extensions Inc.NCCommunity/Behavioral Health Agency$0$14.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$10.7M
    Tonya Omar, PLLCNCCommunity/Behavioral Health Agency$0$9.7M
    Emerge-a Child's Place, PLLCNCSpeech-Language Pathologist$0$9.6M
    Quality Life Home Health Care LLCNCHome Health Agency$0$9M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$8.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Justin Lee — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina