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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Steven Lee (NPI 1538154380)

Field	Value
Entity Type	Individual
Organization	Steven Lee
Address	130 E 77th St
City	Nyc
State	NY
ZIP	10021
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	September 19, 2005

Payer Source	Total Paid
Medicare	$186.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 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…	340	$110	$35.9K
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…	480	$70	$35.4K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,930	$10	$13.5K
99215	The 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…	70	$160	$11.1K
99203	The provider sees a new 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 provider…	120	$90	$10.8K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	190	$50	$8.8K
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…	70	$130	$8.5K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	10	$740	$8.2K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	200	$40	$7.3K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	20	$320	$6.7K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Steven Lee — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7329	28	40	3,800	$10	$44.9K
99214	4,988	30,450	90	$100	$19K
20611	469	740	80	$90	$15.9K
25447	20	20	20	$770	$13K
26055	89	130	30	$320	$12.3K
99213	2,617	31,440	80	$70	$12.1K
99215	2,394	8,280	40	$140	$10.1K
20610	1,601	1,870	60	$60	$7K
25600	8	30	20	$330	$6.6K
99204	3,178	14,170	30	$130	$6.6K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Nicholas	NY	Sports Medicine (Orthopaedic Surgery) Physician	$371K	$0
Jose Rodriguez	NY	Adult Reconstructive Orthopaedic Surgery Physician	$331.6K	$0
Sergai Delamora	NY	Orthopaedic Surgery Physician	$303K	$0
David Matusz	NY	Orthopaedic Surgery of the Spine Physician	$262.2K	$0
Benjamin Bedford	NY	Orthopaedic Surgery Physician	$188.5K	$0
Firas Chamas	NY	Orthopaedic Surgery Physician	$63.6K	$0

Steven Lee — Billing Profile & Reimbursement Data

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Steven 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

Related Providers

Frequently Asked Questions

References