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    OpenPayerNPI Medicare & MedicaidRichard Lee
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    Richard Lee — Billing Profile & Reimbursement Data

    NPI 1922261718 · Honolulu, HI · Radiation Oncology Physician

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    Richard Lee is a radiation oncology physician provider located in Honolulu, Hawaii. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Lee
    Address2226 Liliha St Ste B2
    CityHonolulu
    StateHI
    ZIP96817
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJuly 2, 2008

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

    Payer SourceTotal Paid
    Medicare$561K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer: lifetime billing shows Total Medicare revenue of $561K and no Medicaid revenue on file, indicating the practice’s Medicare business dwarfs any state Medicaid involvement and operations should be evaluated accordingly. Analysts should treat this entity as Medicare-focused when modeling payer mix or network participation in Hawaii.

    Revenue is concentrated in a few high-value radiation-delivery services: precomputed data show the top three Medicare codes by revenue account for 56.5% of this provider's total Medicare revenue, signaling reliance on a narrow set of treatment delivery and planning services rather than a broad mix of outpatient evaluation codes. This concentration implies margins and utilization will be sensitive to volume changes in those leading codes.

    The single largest revenue driver is G6015, which generated $207.1K (36.9% of Medicare revenue) across 666 claims and ranks #592 of 1429 nationally (59th percentile). The code description and volume indicate routine use of advanced intensity-modulated treatment delivery technology; the national ranking places the provider at a typical, unremarkable volume for G6015 rather than as a regional leader.

    Secondary Medicare drivers include G6012 ($56K, 10.0% of Medicare revenue, 268 claims, rank #293 of 868, 66th percentile) and 77014 ($54.4K, 9.7% of Medicare revenue, 1.1K claims, rank #639 of 4303, 85th percentile). Together with G6015 these three codes account for the precomputed 56.5% concentration, and their mix (complex radiation delivery and imaging/simulation activity) confirms the provider’s core service line is external-beam radiation therapy with substantial session-level throughput.

    Procedure-level ranks are consistently in the mid to upper percentiles rather than extreme outlier positions: several high-volume imaging and delivery codes (e.g., 77014 rank 85th percentile, G6002 rank 85th percentile, 77338 rank 92nd percentile) indicate above-typical utilization relative to national peers in some device/IMRT planning activities, but no codes are described as extreme outliers. Overall, the provider is a modest but established participant in nationally benchmarked radiation oncology services.

    Practice tenure is long-standing: the NPI was enumerated on 2008-07-02 (~18 years ago), supporting that these utilization patterns reflect an experienced practitioner with an established referral base and operational history in Honolulu. This tenure increases the credibility of the observed code mix as representative of ongoing service lines rather than a transient billing spike.

    The mix of high-revenue, treatment-delivery codes (G6015, G6012, G6013) together with planning and physics codes (77301, 77336, 77334, 77290) suggests an integrated workflow where the provider routinely delivers and plans complex external-beam and IMRT treatments, including associated medical physics and device construction services. For network design or equipment-capacity planning, expect continued demand for IMRT delivery and per-fraction imaging/tracking.

    Evaluation-and-management codes (99213, 99204, 99212) represent only a small share of revenue (combined low single-digit percentages) compared with therapy and planning codes, indicating the practice generates most revenue from procedure-based radiation delivery rather than office visits; this has implications for staffing models (therapy technologists, medical physicists) and downstream revenue sensitivity to changes in treatment volume.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session670$310$207.1K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev270$210$56K
    77014N/A1,070$50$54.4K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…50$780$37.4K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…10$2,640$34.3K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…210$140$30.1K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…100$190$19K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy580$30$17.4K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…240$70$17.3K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…450$30$12.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015110560$320$165K
    G6012110220$210$40.2K
    5587411010$2,840$34.1K
    7730141030$660$25.6K
    77427420100$150$21.6K
    77014120350$50$21.1K
    G6002210480$30$14.1K
    77336110180$70$12.4K
    G601331050$210$12.4K
    7733821030$210$10K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cancer Center Of Hawaii, LLCHIRadiation Oncology Clinic/Center$0$1.1M
    Christina SpeirsHIRadiation Oncology Physician$486.9K$0
    John LedererHIRadiation Oncology Physician$470K$0
    Michael RoachHIRadiation Oncology Physician$385.5K$0
    Laeton PangHIRadiation Oncology Physician$367.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$42.8M
    Kalihi Palama Health CenterHIFederally Qualified Health Center (FQHC)$0$38.9M
    Careresource HawaiiHIHome Health Agency$0$12.8M
    Lanakila PacificHIHome Delivered Meals$0$11.7M
    Usrc Aloha LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.1M
    Kuakini Medical CenterHIGeneral Acute Care Hospital$0$10.9M
    Usrc Honolulu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.1M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.3M
    Ku Aloha Ola MauHICounselor$220.5K$5.8M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.9M

    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. Hawaii Distribution
    Richard Lee — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii