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

Why is the Medicaid comparison limited to California 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. California (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.

David Lee (NPI 1629374061)

Field	Value
Entity Type	Individual
Organization	David Lee
Address	13280 Evening Creek Dr S
City	San Diego
State	CA
ZIP	92128
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	February 2, 2011

Payer Source	Total Paid
Medicare	$141K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	890	$30	$28.6K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	370	$70	$24.4K
70498	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…	370	$60	$23.5K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	310	$60	$17.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	140	$110	$15K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	90	$70	$6.8K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	150	$40	$5.7K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	50	$80	$3.9K
72158	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.	30	$90	$2.7K
72157	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents first without using contrast and again after injecting contrast material.	30	$90	$2.3K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

David Lee — 4 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	184	1,000	50	$150	$13K
72148	448	1,350	60	$110	$11.5K
70551	39	1,330	60	$90	$7.5K
70450	31	2,040	150	$30	$7K
72141	356	1,040	40	$100	$5.9K
72158	148	420	20	$140	$4.1K
70496	3	1,100	40	$70	$3.8K
70498	3	1,120	40	$70	$3.7K
72156	116	230	20	$130	$3.3K
72157	66	220	20	$130	$3.2K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Los Angeles	CA	Children's Hospital	$0	$137M
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Family Medicine Physician	$0	$125.3M
Swedish Health Services	WA	General Acute Care Hospital	$0	$125.3M
Yakima Valley Memorial Hospital Association	WA	General Acute Care Hospital	$0	$103.5M
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$63.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Yakima Valley Memorial Physicians	WA	General Acute Care Hospital	$0	$24.9M
Children's Hospital Los Angeles Medical Group, Inc.	CA	Multi-Specialty Clinic/Center	$0	$24.6M
Okanogan County Public Hospital District No. 3	WA	Critical Access Hospital	$0	$24.2M
Wenatchee Valley Hospital	WA	General Acute Care Hospital	$0	$22.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CA	Clinical Medical Laboratory	$59.8M	$147.2M
Laboratory Corporation Of America	CA	Clinical Medical Laboratory	$1.1M	$11.4M
Phamatech Incorporated	CA	Clinical Medical Laboratory	$812.9K	$3.2M
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Scripps Clinic Medical Laboratories	CA	Clinical Medical Laboratory	$414.6K	$490
Anil Patel	CA	Cardiovascular Disease Physician	$279.9K	$0
Namee Kim	CA	Cardiovascular Disease Physician	$274K	$0
Malhar Patel	CA	Cardiovascular Disease Physician	$242.4K	$0
Ryan Frederiksen	CA	Diagnostic Radiology Physician	$210.5K	$1.6K
Tyler Adamson	CA	Sports Medicine (Family Medicine) Physician	$129.2K	$0

David Lee — Billing Profile & Reimbursement Data

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David 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

Nearby Providers

Frequently Asked Questions

References