Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Paul Lee (NPI 1295199289)

Field	Value
Entity Type	Individual
Organization	Paul Lee
Address	6020 Warden Rd
City	Sherwood
State	AR
ZIP	72120
Taxonomy	Neurological Surgery Physician
NPI Enumerated	April 6, 2016

Payer Source	Total Paid
Medicare	$22.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	80	$90	$6.7K
99223	The 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…	30	$120	$3.5K
61107	In this procedure, the provider uses a hand operated twist drill to create a hole or holes in the skull to access the area below the dura, the intracerebral area, or the space within the ventricles.…	10	$210	$2.9K
61510	In this procedure, the provider removes a portion of skull bone and excises a brain tumor present above the tentorium cerebelli, a fold of dura mater separating the cerebellum from the occipital and…	10	$240	$2.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$60	$2.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$80	$2.2K
99222	The 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…	20	$90	$1.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	$60	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Paul Lee — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61510	2	10	20	$1,130	$24.8K
99233	601	960	130	$90	$18.2K
99232	1,117	1,450	130	$60	$14.7K
99223	814	1,170	50	$120	$10.6K
99239	386	520	80	$80	$8.2K
99222	773	1,020	30	$90	$4.9K
99238	525	570	30	$60	$3.4K
61107	1	10	10	$210	$2.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Pediatric Clinic Of Nlr, P.A.	AR	Medical Specialty Clinic/Center	$0	$4.9M
Shiloh Emergency Group PLLC	AR	Emergency Medicine Physician	$0	$4.4M
Jana Barfield Dmd PLLC	AR	Dental Clinic/Center	$0	$3.6M
St. Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$3M
Asm, LLC	AR	Customized Equipment (DME)	$0	$2M
Exacta Laboratory Systems, LLC	AR	Clinical Medical Laboratory	$1.2M	$546K
Armo Diagnostics LLC	AR	Clinical Medical Laboratory	$210.6K	$1.5M
Arkansas Health Group	AR	Family Medicine Physician	$0	$1.3M
Susan Delap	AR	Specialist	$380.2K	$578.4K
North River Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$820.4K	$11.3K

Paul Lee — Billing Profile & Reimbursement Data

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Paul Lee — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References