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

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

Seung Lee (NPI 1750313011)

Field	Value
Entity Type	Individual
Organization	Seung Lee
Address	1441 Kapiolani Blvd
City	Honolulu
State	HI
ZIP	96814
Taxonomy	Otolaryngology Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicare	$543.4K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the dataset: lifetime Medicare revenue is $543.4K and there is no Medicaid billing on file, so analyses of scale and access should treat Medicare as the operating payer for the available claims data. The absence of Medicaid activity indicates limited Medicaid patient mix or billing in-state and suggests payer diversification is low in the observed period.

Revenue is highly concentrated in a few procedural codes: the precomputed top 3 Medicare codes by revenue account for 57.6% of this provider's total Medicare revenue, indicating a revenue profile driven by a narrow set of services rather than broad, evenly distributed billing. Two of those top drivers — 31231 ($164.4K, 30.3% of this provider's total Medicare revenue) and 31298 ($85.1K, 15.7% of this provider's total Medicare revenue) — are endoscopic sinus procedures, underscoring concentration in rhinologic interventions.

The code mix signals a rhinology‑focused surgical practice with substantial procedural throughput: 31231 (1K claims, $159 avg paid/claim) is the single largest revenue driver and describes endoscopic nasal cavity examination; 31298 (20 claims, $4255 avg paid/claim) and 31295 (20 claims, $2046 avg paid/claim) are balloon‑dilation and maxillary ostium dilation procedures. Together these items emphasize operative and procedural management of sinonasal disease rather than purely medical management.

The provider also reports very high office visit volume for established patients, with 99213 (966 claims, $66 avg paid/claim; 11.7% of this provider's total Medicare revenue) and meaningful higher‑complexity visits such as 99215 (315 claims, $137 avg paid/claim; 7.9% of this provider's total Medicare revenue). 99213 ranks #6982 of 457151 providers nationally (98th percentile; extreme outlier), which indicates unusually large throughput of routine follow‑up visits compared with national peers and supports a clinic with high patient follow‑up volume.

Diagnostic laryngoscopy and voice assessment are prominent: 31575 (316 claims, $88 avg paid/claim; $27.8K revenue, 5.1% of Medicare revenue) ranks #65 of 7800 providers nationally (99th percentile; extreme outlier), marking this provider as an above‑typical national volume performer for laryngoscopic diagnostic services. Audiology and vestibular testing form a secondary service line with multiple CPTs present (92546, 92588, 92557, 92570, 92540), collectively contributing modest revenue but indicating diagnostic breadth beyond rhinology.

Competitive standing is mixed by procedure: for 31231 the provider ranks #23 of 6206 (100th percentile; notably above typical national volume), which positions them as a leading national performer for that endoscopic nasal procedure, while other high‑revenue procedures like 31298 (rank #88 of 175, 49th percentile) and 31295 (rank #137 of 283, 48th percentile) are unremarkable versus peers. This pattern suggests dominance in a specific endoscopic code with otherwise typical procedure volumes across several other sinus codes.

Tenure data show an NPI enumeration date of 2006-07-07 (~20 years ago), indicating a long‑established practice that has had time to build procedural volume and patient panels. The combination of long tenure and concentration in procedural and E/M codes is consistent with an experienced otolaryngology practice with entrenched referral and follow‑up patterns.

From an operational and payer‑strategy perspective, the practice demonstrates specialization risk: reliance on Medicare for all recorded revenue ($543.4K) and the top 3 codes accounting for 57.6% of Medicare revenue concentrates revenue into a few procedures and a single payer. While the high national ranks on select codes (notably 31231, 99213, 31575) indicate competitive strength in those services, the lack of Medicaid billing could limit negotiating leverage with state payers and suggests consideration of diversification or targeted contracting if expansion of payer mix is an organizational goal.

Medicare: Complete Services Breakdown

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

25 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.	1,030	$160	$164.4K
31298	The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.	20	$4,260	$85.1K
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…	970	$70	$63.8K
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…	320	$140	$43.2K
31295	The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…	20	$2,050	$40.9K
30469	The provider applies radiofrequency energy to reshape the nasal valve in both nostrils.	20	$1,240	$29.7K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	320	$90	$27.8K
30117	In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.	50	$400	$19.2K
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…	70	$160	$10.4K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	40	$300	$10.4K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Seung Lee — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31298	1	10	20	$4,260	$85.1K
31295	1	10	20	$1,960	$31.4K
30469	1	10	20	$1,590	$28.6K
31231	1	20	60	$150	$20.8K
30117	1	10	40	$410	$15.3K
99214	979	1,440	100	$80	$15.2K
99215	25	380	40	$120	$11.2K
99213	17	1,460	70	$60	$8.4K
31237	1	10	30	$250	$7.9K
31575	1	20	50	$90	$6.2K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bo Pang	ME	Facial Plastic Surgery Physician	$434.3K	$0
Alfred Liu	HI	Otolaryngology Physician	$77.1K	$0
Samer Bahu	MI	Otolaryngology Physician	$72K	$0
Larry Au	HI	Medical Physician Assistant	$62K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	HI	Pharmacy	$0	$25.3M
Mastercare Inc	HI	Nursing Care Agency	$0	$10.8M
Attention Plus Private Nursing, Inc.	HI	Nursing Care Agency	$0	$7.7M
Heaven's Helpers, Inc.	HI	In Home Supportive Care Agency	$0	$4.5M
Heaven's Helpers, Inc.	HI	Nursing Care Agency	$0	$4M
Honolulu Imaging Center, LLC	HI	Diagnostic Radiology Physician	$2.6M	$1.1M
Eugene W M Ng Md LLC	HI	Ophthalmology Physician	$0	$3.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.6M
B Homecare L.L.C.	HI	In Home Supportive Care Agency	$0	$3.5M
Hawaii Diagnostic Radiology Services LLC	HI	Diagnostic Radiology Physician	$0	$3.2M

Seung Lee — Billing Profile & Reimbursement Data

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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