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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Kenneth Lee (NPI 1679539654)

Field	Value
Entity Type	Individual
Organization	Kenneth Lee
Address	2021 K St Nw
City	Washington
State	DC
ZIP	20006
Taxonomy	Specialist
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicare	$320.8K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: lifetime Medicare revenue is $320.8K and there is no Medicaid billing on file, so all documented public-payor revenue derives from Medicare only. That payment mix implies operational exposure concentrated in the Medicare population rather than a dual Medicare–Medicaid practice footprint.

Revenue concentration is high at the procedure level: the top three Medicare codes (99214, 93306, 99215) account for 49.2% of this provider's total Medicare revenue. Those three codes drive roughly half of the $320.8K lifetime Medicare receipts, indicating a narrow set of service lines producing most of the reported revenue.

The service mix is consistent with an outpatient cardiology practice that combines face‑to‑face evaluation and management with diagnostic cardiac imaging and monitoring. High-volume E/M codes such as 99214 (639 claims, $102 avg paid/claim) and 99215 (208 claims, $148 avg paid/claim) sit alongside cardiology diagnostic workups including 93306 (462 claims, $133 avg paid/claim) and multiple ECG/monitoring codes (e.g., 93000, 93010, 93241, 93245), which together suggest integrated clinic-based evaluation plus on‑site or closely coordinated testing.

This provider shows a particularly strong national standing for office E/M and basic ECG workload: 99214 ranks in the 93th percentile nationally and is described as notably above typical national volume for this code, and 99215 ranks in the 92th percentile (characterized as typical, unremarkable volume). By contrast, advanced imaging and pharmacologic stress inputs are modest compared with peers — for example, 78452 (SPECT) is in the 28th percentile and J2785 (regadenoson) is in the 16th percentile — indicating less emphasis or lower relative volume in nuclear stress testing.

There is a clear, above‑median adoption of remote physiologic monitoring (RPM) services: 99457 (653 claims, $42 avg paid/claim) ranks in the 89th percentile, 99454 (424 claims, $46 avg paid/claim) ranks in the 83th percentile, and 99458 (249 claims, $34 avg paid/claim) ranks in the 66th percentile. These ranks and claim counts indicate a relatively robust RPM program compared with national peers and suggest RPM is a meaningful revenue stream in the practice mix.

Ambulatory ECG and extended monitoring appear to be an active part of the clinical portfolio: 93241 (33 claims, $249 avg paid/claim) and 93245 (30 claims, $247 avg paid/claim) are present and rank in the mid‑percentiles (63th and 59th respectively), while routine ECG interpretation (93010) shows high encounter volume (1K claims, $6 avg paid/claim) and ranks in the 93th percentile. Together these items point to consistent throughput of cardiac rhythm diagnostics and interpretation.

The provider’s lifetime NPI enumeration date is 2006-04-26 (~20 years ago), indicating long tenure in the Medicare program. Despite this tenure, the aggregate Medicare revenue of $320.8K reflects a modest absolute scale of reported Medicare billings, concentrated in a handful of codes rather than spread across many low‑revenue items.

From a competitive-stance perspective, the practice is a major national participant on specific office‑visit and ECG codes (notably 99214 at the 93th percentile) but is a modest participant or below‑median for several imaging and pharmacologic stress inputs (e.g., 78452 at the 28th percentile, J2785 at the 16th percentile, A9502 at the 21th percentile). This pattern suggests the provider competes strongly on ambulatory cardiology E/M, monitoring, and basic diagnostics while having limited relative volume in some advanced imaging or radiopharmaceutical services.

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
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…	640	$100	$65.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	460	$130	$61.4K
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…	210	$150	$30.8K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	650	$40	$27.4K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	420	$50	$19.5K
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…	130	$130	$15.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	30	$410	$14K
99205	The 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…	50	$180	$9.5K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	250	$30	$8.5K
93241	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and…	30	$250	$8.2K

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. District of Columbia Distribution

Kenneth Lee — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	14	80	240	$110	$32.4K
78452	30	40	60	$340	$22.6K
99233	392	650	90	$100	$17.6K
99214	53	1,400	90	$100	$15.3K
99215	75	660	50	$130	$12.3K
99457	4	20	100	$40	$11.2K
93245	10	20	30	$240	$11K
99232	317	640	70	$70	$10K
99454	3	20	180	$50	$9.7K
99213	970	1,200	50	$70	$8.5K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Medical Group Ii LLC	MD	General Practice Physician	$0	$91.5M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Cardiology Associates, LLC	DC	Specialist	$0	$1.9M
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capitol View Home Healthcare Agency	DC	Respite Care	$0	$26.2M
Amazing Grace Supports Inc	DC	In Home Supportive Care Agency	$0	$20.2M
Mba Non Profit Solutions, LLC	DC	Developmentally Disabled Services Day Training Agency	$0	$3.4M
Premier Support Services Inc	DC	Case Management Agency	$0	$2.9M
Hamid Saranjam	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
District Endodontics PLLC	DC	Endodontics	$0	$1.8M
Kerman Dental LLC	DC	General Practice Dentistry	$0	$1.4M
Lifetree Health, Inc	DC	Primary Care Clinic/Center	$0	$1.2M
Kaveh Zand	DC	Endodontics	$0	$1M
Limitless Possibilities, LLC.	DC	Mental Health Counselor	$0	$741.8K

Kenneth Lee — Billing Profile & Reimbursement Data

Sign up for Kenneth Lee — Billing Profile & Reimbursement Data policy alerts

Kenneth Lee — Billing Profile & Reimbursement Data

Sign up for Kenneth Lee — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References