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 & MedicaidJohn Lee
    Ask Trek AI about this page

    John Lee — Billing Profile & Reimbursement Data

    NPI 1982685327 · Beverly Hills, CA · Ophthalmology Physician

    Customize your policy alerts

    Sign up for John 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.

    John Lee is a ophthalmology physician provider located in Beverly Hills, California. This profile covers 9 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 / 7

    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
    OrganizationJohn Lee
    Address9675 Brighton Way
    CityBeverly Hills
    StateCA
    ZIP90210
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 11, 2005

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

    Payer SourceTotal Paid
    Medicare$112.2K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92100Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the…450$70$33.6K
    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…430$70$31.7K
    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…260$90$23.3K
    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…80$130$10.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…130$50$6.6K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…180$20$3.7K
    67800In this procedure, the provider removes a chalazion, a small nodule that results from a blockage of an oil gland and ongoing inflammation.20$110$1.9K
    65210In this procedure, the provider removes a foreign object embedded in or below the conjunctiva, the membrane covering the eye, or in the sclera, the outer covering of the eyeball, but not perforating…30$30$810
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.30$10$350

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,71537,970120$90$23.2K
    9210044050$70$14.5K
    992134,00834,66080$70$13.2K
    992044,28719,36040$120$7.2K
    920836311,96070$50$7K
    922018830070$20$4.9K
    67800163020$100$2.5K
    65210113020$30$2.4K
    6782018234030$20$800

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    Natan ShaoulianCANeurology Physician$7.3M$0
    Millicent RoveloCAPlastic Surgery Physician$6.1M$0
    Raymond DouglasCAOphthalmology Physician$4.1M$0
    Laboratory Medicine Consultants Inc.CAClinical Medical Laboratory$1.6M$1.6M
    Bobby PourziaeeCAFoot & Ankle Surgery Podiatrist$2.5M$0
    Jasmine AghajaniCAOral and Maxillofacial Surgery (Dentist)$2M$277.5K
    Satinder BhatiaCACardiovascular Disease Physician$1.9M$0
    90210 Surgery Medical Center, LLCCAOphthalmologic Surgery Clinic/Center$1.6M$5.1K
    Ronald KarlsbergCACardiovascular Disease Physician$1.2M$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. California Distribution
    John Lee — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California