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

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

Johnson Lee (NPI 1982847851)

Field	Value
Entity Type	Individual
Organization	Johnson Lee
Address	435 N Roxbury Dr Ste 315
City	Beverly Hills
State	CA
ZIP	90210
Taxonomy	Plastic Surgery Physician
NPI Enumerated	April 8, 2009

Payer Source	Total Paid
Medicare	$22.5M
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is dominated by advanced wound-care and biologic product use rather than routine cosmetic procedures, consistent with the listed Plastic Surgery Physician taxonomy but focused on wound management. The top revenue codes are per–square–centimeter amniotic/skin substitute add‑ons (Q4236, Q4253, Q4188) along with procedural debridement and adjunctive wound‑healing therapies such as 97610, indicating a practice that generates most revenue from product‑intensive wound treatment rather than office-based cosmetic visits.

Revenue concentration is very high: the precomputed top 3 Medicare codes account for 89.1% of the provider’s total Medicare revenue, and those three codes individually represent 61.2% (Q4236), 20.2% (Q4253), and 7.6% (Q4188) of the provider’s Medicare take. With total Medicare revenue reported as $22.5M, this concentration means a small set of codes and products drives the bulk of the business’s income.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $22.5M while there is no Medicaid billing on file, so the provider’s reported public‑payer exposure is concentrated entirely in Medicare. That single‑payer profile implies that changes in Medicare coverage or reimbursement for amniotic membranes, skin substitutes, or related wound‑care services would disproportionately affect the provider’s revenue.

Competitive standing on key product codes is strong at the national level: Q4236 is ranked #3 of 79 providers nationally (97th percentile; notably above typical national volume for this code), Q4253 is ranked #8 of 73 (90th percentile), and Q4188 is ranked #6 of 47 (89th percentile). These ranks indicate the provider is a major national participant for Q4236 and reports above‑typical volumes for the other leading amniotic membrane products.

Several codes show extreme outlier status, highlighting unusually high reported volume in specific service types: 97610 ranks #1 of 320 providers nationally (100th percentile; extreme outlier) for low‑frequency ultrasound wound therapy, and 99349 ranks #15 of 14284 providers nationally (100th percentile; extreme outlier) for extended home/residence E/M visits. Additional codes with extreme or near‑extreme standing (11043, 15271, 99348, 11042 are all at or near top percentiles as reported) reinforce that the practice delivers high volumes of procedural wound care and home/nursing‑setting evaluations compared with peers.

Operationally, reliance on per‑square‑centimeter add‑on products (Q4236, Q4253, Q4188) suggests the business model emphasizes throughput and use of vendor‑supplied biologic materials, so margins and contracting for those supplies will be central to financial performance. Payers and purchasers will likely view product pricing, documentation for area‑based billing, and utilization patterns as the primary levers for managing cost and care for this provider’s episodes.

The provider has an established billing history, with an NPI enumerated on 2009-04-08 (~17 years ago), indicating long tenure in the Medicare program. Combined with the concentrated code mix and reported national rankings, the data suggest a stable, niche specialty practice that has scaled particular wound‑care services over a sustained period.

Because a handful of codes account for nearly all revenue and Medicaid billing is absent, the practice is strategically exposed to any Medicare policy, coding, or coverage changes affecting amniotic membranes, skin substitutes, or high‑volume wound therapies. For payers and competitors, this concentrated, high‑volume profile identifies the provider as a valuable target for contracting discussions and utilization management focused on biologic product use and home/nursing facility service delivery.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	14,010	$980	$13.7M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	6,130	$740	$4.5M
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	2,220	$770	$1.7M
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	2,550	$420	$1.1M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,600	$110	$377.8K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	1,800	$200	$359K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	1,180	$120	$142.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	1,630	$60	$99.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	890	$90	$78.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,120	$60	$65.8K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Johnson Lee — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	3	20	3,950	$960	$6.2M
Q4253	1	10	3,110	$670	$2.3M
Q4188	3	30	1,120	$750	$1.1M
97610	1	50	260	$390	$182.8K
11043	8	370	120	$170	$52.1K
99309	311	1,790	210	$80	$48.1K
99308	254	1,640	190	$60	$35.5K
99349	5	870	110	$90	$31.7K
11044	77	110	60	$240	$29.1K
11046	50	160	270	$50	$24.2K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp.	CA	Federally Qualified Health Center (FQHC)	$0	$305.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$141.9M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$104.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$71.1M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$67.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$53.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$50.7M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$43.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Natan Shaoulian	CA	Neurology Physician	$7.3M	$0
Millicent Rovelo	CA	Plastic Surgery Physician	$6.1M	$0
Raymond Douglas	CA	Ophthalmology Physician	$4.1M	$0
Laboratory Medicine Consultants Inc.	CA	Clinical Medical Laboratory	$1.6M	$1.6M
Bobby Pourziaee	CA	Foot & Ankle Surgery Podiatrist	$2.5M	$0
Jasmine Aghajani	CA	Oral and Maxillofacial Surgery (Dentist)	$2M	$277.5K
Satinder Bhatia	CA	Cardiovascular Disease Physician	$1.9M	$0
90210 Surgery Medical Center, LLC	CA	Ophthalmologic Surgery Clinic/Center	$1.6M	$5.1K
Ronald Karlsberg	CA	Cardiovascular Disease Physician	$1.2M	$0
Raghu Murthy	CA	Ophthalmology Physician	$1M	$3.8K

Johnson 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