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

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

Arthur Lee (NPI 1720109689)

Field	Value
Entity Type	Individual
Organization	Arthur Lee
Address	378 Washington St
City	Wellesley
State	MA
ZIP	02481
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicare	$106.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99443	N/A	480	$80	$38.9K
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…	240	$120	$28.6K
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…	180	$150	$26.4K
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…	50	$110	$5.3K
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…	40	$80	$3.5K
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…	40	$50	$1.9K
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…	20	$70	$1.2K
99442	N/A	20	$60	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Arthur Lee — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,602	15,410	110	$80	$15.6K
99215	332	6,360	40	$120	$8.9K
99213	9,915	13,700	70	$60	$8.8K
99204	2,058	5,870	30	$120	$5.6K
99205	10	2,430	30	$160	$5.5K
99203	3,214	4,290	30	$80	$4.1K
99443	6	1,960	30	$80	$3.8K
99442	782	1,200	20	$60	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Lee	MD	Clinical Cardiac Electrophysiology Physician	$726.5K	$0
Benjamin Levin	MA	Internal Medicine Physician	$683.3K	$0
Thomas Goodman	MA	Rheumatology Physician	$629K	$0
Julius Tabe	MA	Family Medicine Physician	$449.6K	$2.5K
Nelson Aweh	MA	Internal Medicine Physician	$425.3K	$0
Omar El Abd	MA	Interventional Pain Medicine Physician	$423K	$0
Moussa Mansour	MA	Clinical Cardiac Electrophysiology Physician	$406K	$0
Abraham Kim	CA	Adult Reconstructive Orthopaedic Surgery Physician	$338.6K	$0
Joseph Kavolus	MA	Orthopaedic Surgery Physician	$306.9K	$0
Mandeep Hundal	MA	Pulmonary Disease Physician	$290.7K	$6.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Katz	MA	Neurology Physician	$1.8M	$0
Dermpath New England, LLC	MA	Clinical Medical Laboratory	$685.6K	$643K
Boston Endoscopy Center, LLC	MA	Endoscopy Clinic/Center	$1.1M	$0
Daihung Do	MA	MOHS-Micrographic Surgery Physician	$698.1K	$0
Jessica Mosher	MA	MOHS-Micrographic Surgery Physician	$696.1K	$0
Andrew Bouley	MA	Neurology Physician	$602.8K	$0
Caroline Baumal	MA	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$485K	$0
Steven Smith	MA	MOHS-Micrographic Surgery Physician	$420.1K	$0
Carin Litani	MA	MOHS-Micrographic Surgery Physician	$404.8K	$0
Boston Breast Diagnostic Center LLC	MA	Mammography Clinic/Center	$382.8K	$5.7K

Arthur Lee — Billing Profile & Reimbursement Data

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Arthur 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