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NPI 1306891346 · Orange, CA · Rheumatology Physician
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Joo-hyung Lee is a rheumatology physician provider located in Orange, California. This profile covers 58 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Joo-hyung Lee |
| Address | 1010 W La Veta Ave Ste 360 |
| City | Orange |
| State | CA |
| ZIP | 92868 |
| Taxonomy | Rheumatology Physician |
| NPI Enumerated | May 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $248.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
58 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 106,400 | $1 | $425.6K |
| 99214 | The 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… | 3,190 | $110 | $341.5K |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 35,920 | $10 | $287.4K |
| J0897 | Injection, denosumab, 1 mg | 14,220 | $20 | $270.2K |
| 99204 | The 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… | 190 | $140 | $25.4K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 1,410 | $20 | $25.3K |
| 86141 | The lab analyst performs the technical lab test to analyze the specimen, such as serum, for high sensitivity C reactive protein, hsCRP. | 1,710 | $10 | $22.2K |
| 86481 | The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon. | 180 | $100 | $17.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,740 | $10 | $13.9K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 1,130 | $10 | $13.5K |
Showing 1–10 of 58
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
58 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0717 | 13 | 40 | 65,800 | $1 | $325.4K |
| J3111 | 21 | 110 | 14,910 | $10 | $171.8K |
| J0897 | 72 | 1,030 | 3,060 | $20 | $91.4K |
| 86235 | 27 | 60 | 1,220 | $20 | $75.7K |
| 82306 | 121 | 490 | 100 | $30 | $44.2K |
| 86481 | 17 | 30 | 300 | $100 | $33.9K |
| 99214 | 56 | 37,970 | 120 | $90 | $23.2K |
| J7325 | 60 | 110 | 1,490 | $10 | $20.2K |
| 86038 | 45 | 80 | 330 | $10 | $18.1K |
| 85025 | 126 | 1,210 | 150 | $10 | $17.2K |
Showing 1–10 of 58
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 2,460 | $80 | $204.5K |
| 99204 | The 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… | 260 | $150 | $38.7K |
| 99213 | The 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… | 60 | $80 | $4.8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 40 | $1 | $40 |
| 0518F | No Summary found for this code | 30 | $0 | $0 |
| 1006F | No Summary found for this code | 30 | $0 | $0 |
| 1036F | N/A | 480 | $0 | $0 |
| 1100F | No Summary found for this code | 30 | $0 | $0 |
| 1170F | The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of… | 90 | $0 | $0 |
| 3288F | No Summary found for this code | 30 | $0 | $0 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3,674 | 13,300 | 640 | $40 | $169.6K |
| 99213 | The 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… | 11,996 | 14,520 | 760 | $10 | $122.8K |
| 99204 | The 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… | 2,548 | 5,870 | 180 | $70 | $73K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 574 | 780 | 140 | $10 | $4.5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 293 | 920 | 220 | $1 | $1.3K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 163 | 390 | 190 | $1 | $220 |
| 1036F | N/A | 581 | 1,240 | 390 | $1 | $150 |
| G8482 | Influenza immunization administered or previously received | 102 | 240 | 90 | $1 | $70 |
| 1100F | No Summary found for this code | 36 | 50 | 70 | $1 | $60 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 215 | 370 | 160 | $1 | $60 |
Showing 1–10 of 17
Other providers in the same ZIP code as Joo-hyung Lee, ranked by combined Medicare and Medicaid revenue.
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