Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Lee
    Ask Trek AI about this page

    Benjamin Lee — Billing Profile & Reimbursement Data

    NPI 1942278874 · Stockbridge, GA · Urology Physician

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Benjamin Lee is a urology physician provider located in Stockbridge, Georgia. This profile covers 31 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Lee
    Address180 N Park Trl Ste 100
    CityStockbridge
    StateGA
    ZIP30281
    TaxonomyUrology Physician
    NPI EnumeratedMarch 8, 2006

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

    Payer SourceTotal Paid
    Medicare$235.2K
    Medicaid$0

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…860$90$76.5K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…310$80$25.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…150$170$25K
    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…330$60$20.9K
    99204The 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$110$14.9K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…60$200$12.4K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…290$40$11.4K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…350$20$6.3K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…70$60$3.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$80$3.8K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921450213,640120$80$17.8K
    520004427070$140$13.8K
    51729223030$260$10.3K
    992131,70513,36080$60$9.2K
    5570013417020$280$9.1K
    51728739030$200$7.6K
    7417638965060$70$5.8K
    8415422050$20$5.7K
    844037315030$30$5.6K
    992043327,26030$110$5.1K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amy KingmanGACardiovascular Disease Physician$641.2K$0
    Markus PorkertGACardiovascular Disease Physician$493.3K$0
    Barbara ConlonGANurse Practitioner$446.2K$0
    Sandeep GoyalGAClinical Cardiac Electrophysiology Physician$374K$0
    James LibbyGAUrology Physician$340.5K$0
    Stephen AwuorGAInterventional Cardiology Physician$210.7K$127.9K
    Mina JacobALVascular Surgery Physician$325.9K$0
    James EatonGAUrology Physician$322.9K$0
    Mark GibsonGACardiovascular Disease Physician$320.5K$150
    Thomas DeeringGAClinical Cardiac Electrophysiology Physician$309.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apex Family Healthcare Services, LLCGACommunity/Behavioral Health Agency$0$19M
    Pacific Health Systems LLCGAHome Health Agency$0$9.9M
    Southern Crescent Pediatrics PCGAPediatrics Physician$0$9.6M
    Healthsource Agency IncGAHome Health Agency$0$5.8M
    Piedmont Hospitalist Physicians LLCGAFamily Medicine Physician$0$3.6M
    National Premier Laboratories IncGAClinical Medical Laboratory$0$3.4M
    Covenant Care Pediatrics PCGAPediatrics Physician$0$3M
    Stockbridge PediatricsGAPediatrics Physician$0$2.6M
    Surgical Center For Urology LLCGAAmbulatory Surgical Clinic/Center$805.2K$0
    Regenerative Orthopaedics Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$622K$0

    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. Georgia Distribution
    Benjamin Lee — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia