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NPI 1366678864 · Bay Shore, NY · Hospitalist Physician
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Kenneth Lee is a hospitalist physician provider located in Bay Shore, New York. This profile covers 5 Medicare and 3 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 | Kenneth Lee |
| Address | 301 E Main St |
| City | Bay Shore |
| State | NY |
| ZIP | 11706 |
| Taxonomy | Hospitalist Physician |
| NPI Enumerated | June 10, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $174.1K |
| Medicaid | $15.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 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… | 720 | $110 | $77.4K |
| 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… | 380 | $100 | $39.6K |
| 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… | 540 | $70 | $39K |
| 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… | 100 | $150 | $15.9K |
| 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 | $120 | $2.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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.
3 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… | 420 | $20 | $6.8K |
| 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… | 420 | $10 | $5.9K |
| 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… | 110 | $20 | $2.4K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,162 | 4,120 | 130 | $30 | $26.7K |
| 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… | 512 | 2,620 | 100 | $50 | $25.1K |
| 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… | 171 | 720 | 30 | $70 | $14.8K |
Other providers in the same ZIP code as Kenneth Lee, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| South Shore University Hospital | NY | General Acute Care Hospital | $0 | $47.3M |
| Anthony Rizzo | NY | Family Medicine Physician | $1.3M | $153.9K |
| Gerry Rubin | NY | Hematology & Oncology Physician | $730.9K | $113.5K |
| Michael Nett | NY | Orthopaedic Surgery Physician | $718.3K | $3.7K |
| Louis Guida | NY | Specialist | $315.1K | $334.6K |
| Keith Reinhardt | NY | Orthopaedic Surgery Physician | $639.2K | $540 |
| Amit Sharma | NY | Interventional Pain Medicine Physician | $618K | $590 |
| Robert Chow | NY | Infectious Disease Physician | $560.9K | $0 |
| Laura Lennon | NY | Cardiovascular Disease Physician | $502.9K | $34.3K |
| John Muratori | NY | Family Medicine Physician | $495.2K | $10.4K |
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