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    OpenPayerNPI Medicare & MedicaidTennyson Lee
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    Tennyson Lee — Billing Profile & Reimbursement Data

    NPI 1518964980 · Carbondale, IL · Pain Medicine (Physical Medicine & Rehabilitation) Physician

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    Tennyson Lee is a pain medicine (physical medicine & rehabilitation) physician provider located in Carbondale, Illinois. This profile covers 29 Medicare and 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationTennyson Lee
    Address1101 W Diann Ln
    CityCarbondale
    StateIL
    ZIP62901
    TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedJune 30, 2005

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

    Payer SourceTotal Paid
    Medicare$364.8K
    Medicaid$71.3K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…530$170$91.2K
    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…770$90$72K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…300$180$55.9K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$330$19.6K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.400$30$13.7K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…60$190$11K
    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…200$60$10.9K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…60$180$10.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…50$190$9.5K
    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…60$170$9.4K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921467918,540110$80$17.1K
    646354618030$350$17K
    623231227060$160$15.7K
    770023933030$80$12.9K
    6449311624050$170$11.8K
    992152,8656,24040$120$10.1K
    992136,35917,39070$60$8.8K
    9588622324090$60$8.1K
    206102921,55060$50$7.6K
    27096119030$120$6.7K

    Showing 1–10 of 29

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…340$120$41.5K
    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…420$30$12.5K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.200$20$4.1K
    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…200$20$3.9K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,010$1$3K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.220$10$2.2K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…20$110$1.7K
    J1030Injection, methylprednisolone acetate, 40 mg430$1$1.7K
    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…10$30$400
    J1100Injection, dexamethasone sodium phosphate, 1 mg30$1$30

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,32914,680300$50$48.7K
    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…7,98914,190280$20$38.9K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…59275060$130$26.1K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…320110$150$24.5K
    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…8390130$50$17.8K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.5720060$20$3.7K
    J1030Injection, methylprednisolone acetate, 40 mg189090$10$1.8K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg3128080$10$1.7K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.2812060$10$1.4K
    J1100Injection, dexamethasone sodium phosphate, 1 mg10714090$1$480

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Tennyson Lee, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Orthopedic Associates ScILOrthopaedic Surgery Physician$0$3.2M
    David LindenbergCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.3M$320
    John RuxerKYPain Medicine Physician$1M$274.3K
    Shiraz PatelKYOrthopaedic Surgery Physician$318.9K$0
    Steven YoungILOrthopaedic Surgery Physician$189.8K$90.7K
    K Brandon StrengeKYOrthopaedic Surgery of the Spine Physician$252.6K$0
    James DavisILOrthopaedic Surgery Physician$225.7K$23.1K
    Frederick DeweeseKYOrthopaedic Surgery Physician$235.2K$0
    Brian KernKYOrthopaedic Surgery Physician$196.2K$0
    Ryan BeckKYOrthopaedic Surgery Physician$180.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, Inc.ILRehabilitation Hospital$0$20.4M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$15.2M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$13.2M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$9.7M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.7M
    Centerstone Of Illinois, IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$4.6M
    Shawnee Health Service & Development CorpILFederally Qualified Health Center (FQHC)$0$4M
    Gateway Foundation, Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.1M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$3M
    Nader DababnehILGastroenterology Physician$111.5K$813.7K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Tennyson Lee — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Tennyson Lee — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois