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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBailey Lee
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    Bailey Lee — Billing Profile & Reimbursement Data

    NPI 1619962461 · Houston, TX · Ophthalmology Physician

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    Bailey Lee is a ophthalmology physician provider located in Houston, Texas. This profile covers 11 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBailey Lee
    Address2855 Gramercy St
    CityHouston
    StateTX
    ZIP77025
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 19, 2005

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

    Payer SourceTotal Paid
    Medicare$911.8K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg840$680$571K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,320$90$120K
    J2777Injection, faricimab‑svoa, 0.1 mg3,660$30$106.1K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.600$90$54.8K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,260$30$37.7K
    J7999Compounded drug, not otherwise classified140$80$10.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$90$4.8K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…40$110$4.2K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…70$30$1.8K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…10$40$460

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017888210610$690$694.9K
    J27771161407,470$30$479.2K
    67028126290510$90$73K
    922359516060$100$21.3K
    92014692,700100$80$21K
    J79995214090$80$14.4K
    921341061,69070$30$8.3K
    920047422,07040$90$6.1K
    920831,5511,59050$40$4.1K
    922507531,84050$30$3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lindsey HarrisTXRetina Specialist (Ophthalmology) Physician$2.7M$0
    Carolyn ChenTXOphthalmology Physician$2M$0
    Sapa PhamTXRetina Specialist (Ophthalmology) Physician$1.4M$0
    Andrew KopelTXOphthalmology Physician$1.2M$0
    John AlappattTXRetina Specialist (Ophthalmology) Physician$1.1M$0
    Jeffrey ArnoultTXOphthalmology Physician$402.1K$0
    Richard UrsoTXOphthalmology Physician$388.9K$0
    Susan FishTXOphthalmology Physician$388.1K$0
    John GooseyTXOphthalmology Physician$303.1K$0
    Prajay DhirTXOphthalmology Physician$284.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Citizen Care Home Health, Inc.TXHome Health Agency$0$29.2M
    Joseph KhawlyTXOphthalmology Physician$3.2M$0
    Jonathan TzuTXOphthalmology Physician$2.8M$0
    Hea Gramercy Surgery Center, PLLCTXAmbulatory Surgical Clinic/Center$2.6M$27.6K
    Hassan RahmanTXOphthalmology Physician$2.4M$0
    Eric HolzTXOphthalmology Physician$1.4M$0
    Gramercy Surgery Center, LtdTXAmbulatory Surgical Clinic/Center$1M$26.1K
    Daniel GealyTXOphthalmology Physician$923.7K$0
    Roger Carbajal MendozaTXHospitalist Physician$341.9K$42.6K
    Brian GreetTXClinical Cardiac Electrophysiology Physician$292.3K$0

    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. Texas Distribution
    Bailey Lee — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas