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    OpenPayerNPI Medicare & MedicaidFranco Lee
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    Franco Lee — Billing Profile & Reimbursement Data

    NPI 1821029760 · Las Vegas, NV · Pain Medicine Physician

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    Franco Lee is a pain medicine physician provider located in Las Vegas, Nevada. This profile covers 25 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFranco Lee
    Address5741 S Fort Apache Rd Ste 120
    CityLas Vegas
    StateNV
    ZIP89148
    TaxonomyPain Medicine Physician
    NPI EnumeratedJuly 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$212.2K
    Medicaid$44.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…800$60$50.6K
    99214The 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…340$90$30.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$510$20K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg4,600$1$18.4K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$260$16.8K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…80$150$11.6K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…40$290$11.2K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…50$200$9.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.120$60$7.2K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…10$500$7K

    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

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04811320130$150$74.5K
    64635368040$440$25.2K
    8030750110100$60$21.9K
    644833810060$230$20.3K
    992147543,610110$80$19K
    64493618050$210$17.1K
    64633303030$450$16.2K
    62323297040$190$10.2K
    992131283,50080$60$10K
    J33002103,180$1$9.8K

    Showing 1–10 of 25

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…680$60$42.3K
    99203The 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…30$100$2.6K
    J1100Injection, dexamethasone sodium phosphate, 1 mg60$1$120
    J2250Injection, midazolam hydrochloride, per 1 mg60$1$60
    J3010Injection, fentanyl citrate, 0.1 mg40$1$40

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…8782,480330$50$107.6K
    99203The 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…636860100$70$42.9K
    J3010Injection, fentanyl citrate, 0.1 mg37401,790$1$1.4K
    J1100Injection, dexamethasone sodium phosphate, 1 mg104150180$1$1.4K
    J2250Injection, midazolam hydrochloride, per 1 mg36401,510$1$370

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pouya Mohajer Md LtdNVPain Medicine (Anesthesiology) Physician$0$2.8M
    Pouya MohajerNVPain Medicine (Anesthesiology) Physician$185.7K$34.4K
    Nancy InmanNVPhysician Assistant$164.1K$0
    Denice GuzzardoNVPhysician Assistant$92.5K$5.3K
    Robert AdlersteinNVFamily Nurse Practitioner$96.7K$0
    Inna StreszNVFamily Nurse Practitioner$82.9K$0
    Gisela ChinNVFamily Nurse Practitioner$73.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Women's Health Associates Of Southern Nevada- Martin, PLLCNVObstetrics & Gynecology Physician$0$22.7M
    Southern Hills Medical Center, LLCNVGeneral Acute Care Hospital$0$19.8M
    Adashek And Wilkes LLPNVMaternal & Fetal Medicine Physician$0$16.7M
    Eid Nevada Critical Care PLLCNVCritical Care Medicine (Internal Medicine) Physician$0$16.2M
    Therapy Blocks L.L.C.NVOccupational Therapist$0$15.2M
    Kevin Bernstein Md LLCNVGeriatric Psychiatry Physician$0$7.5M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$4.8M
    Innovative Care PhysiciansNVInternal Medicine Physician$0$4.5M
    Dmytro BondNVPediatrics Physician$0$3.7M
    The Speech House LLCNVSpeech-Language Pathologist$0$3.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nevada Distribution
    Franco Lee — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Franco Lee — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada