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    OpenPayerNPI Medicare & MedicaidTony Lee
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    Tony Lee — Billing Profile & Reimbursement Data

    NPI 1477692416 · Yakima, WA · Neurology Physician

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    Tony Lee is a neurology physician provider located in Yakima, Washington. This profile covers 26 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.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationTony Lee
    Address307 S 12th Ave
    CityYakima
    StateWA
    ZIP98902
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 6, 2007

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

    Payer SourceTotal Paid
    Medicare$387K
    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.

    26 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…1,230$80$102.4K
    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…500$130$65.6K
    99205The provider sees a new 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 provider…250$160$39K
    90868In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…410$90$36.5K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…100$160$16.5K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…70$220$16.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…200$80$15.7K
    95813An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…40$340$12.7K
    95885The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…200$50$9.8K
    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…190$50$9.3K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90868710420$90$56.9K
    992146710,860100$80$13.6K
    96132135030$100$12.3K
    95720122040$170$9K
    99215494,32040$120$8.4K
    958861613060$70$7.2K
    95912133020$180$7K
    992131,5029,69060$60$6.5K
    9613822040$30$6.5K
    9591323020$210$6.1K

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yakima Valley Memorial Hospital AssociationWAGeneral Acute Care Hospital$0$103.5M
    Total Care, Inc.WAHome Health Agency$0$34.3M
    Community Health Of Central WashingtonWAFederally Qualified Health Center (FQHC)$0$25.9M
    Yakima Valley Memorial PhysiciansWAGeneral Acute Care Hospital$0$24.9M
    Comprehensive HealthcareWACommunity/Behavioral Health Agency$0$22.9M
    Planned Parenthood Of Greater Washington & North IdahoWAMulti-Specialty Clinic/Center$0$17.8M
    American Medical Response Ambulance Service IncWAAmbulance$1.6M$10.6M
    Howards Medical LLCWADurable Medical Equipment & Medical Supplies$0$7.2M
    Shc Medical Center - YakimaWAGeneral Acute Care Hospital$0$6.9M
    Yakima Valley Memorial Hospital AssociationWAPharmacy$0$6.2M

    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. Washington Distribution
    Tony Lee — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington