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

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

Christopher Lee (NPI 1649275751)

Field	Value
Entity Type	Individual
Organization	Christopher Lee
Address	3500 Duluth Park Ln
City	Duluth
State	GA
ZIP	30096
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 15, 2005

Payer Source	Total Paid
Medicare	$121K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	510	$150	$75.6K
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…	430	$70	$29K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	500	$20	$9K
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…	90	$80	$7.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Christopher Lee — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31231	1	230	50	$130	$9.3K
99213	1,097	13,360	80	$60	$9.2K
99203	721	5,350	30	$70	$3.3K
69210	3	340	40	$30	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peachtree Children's Dentistry	GA	Pediatric Dentistry	$0	$2.8M
Let's Talk Therapy, LLC	GA	Speech-Language Pathologist	$0	$1.8M
North Atlanta Dermatology	GA	Dermatology Physician	$0	$763.7K
Charles Agunobi	GA	Internal Medicine Physician	$741.1K	$0
David Pharis	GA	MOHS-Micrographic Surgery Physician	$709K	$0
Richard Maxa	GA	Internal Medicine Physician	$585K	$0
Meena Shah	GA	Family Medicine Physician	$487.6K	$0
Charles Douchy	GA	Dermatology Physician	$379.1K	$0
Maria Roca Martinez	GA	Internal Medicine Physician	$339.3K	$0
Gabrielle Sabini	GA	Dermatology Physician	$334.3K	$0

Christopher Lee — Billing Profile & Reimbursement Data

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Christopher 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

Nearby Providers

Frequently Asked Questions

References