PROVIDER PROFILE · NPI 1699720946

Scott LeeM.D.

OphthalmologyPinole, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,986

Unique beneficiaries

—

Total services

2,577

Distinct HCPCS

Medicare payment

$343K

Peer benchmark

Total Medicare services vs. 2,144 Ophthalmology providers in CA — above median (cohort median 1,859).

PRESCRIBING · PART D · 2024

Total Rx claims

5,080

Beneficiaries

—

Total drug cost

$251K

Distinct drugs

Brand share

28.6%

Top prescribed drugs

Latanoprost977 claims

Neomycin/Polymyxin B/Dexametha502 claims

Prednisolone Acetate494 claims

Cromolyn Sodium482 claims

Ketorolac Tromethamine453 claims

QUALITY · MIPS · 2024

Final MIPS score

94.1

Quality

100.0

Cost

74.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.80%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$110

Payment records

By payment type

Food and Beverage$110

REFERRAL NETWORK

Where Scott Lee's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 34 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Canyon Pinole Surgery Center, Lp Ambulatory Surgical Center · Pinole, CA	128	254
SUTTER EAST BAY HOSPITALS	57	91
CONTRA COSTA COUNTY	51	205
Hayden Evans Diagnostic Radiology · Oakland, CA	34	52
Grace Chou Family Practice · Walnut Creek, CA	27	46
LIFELONG MEDICAL CARE	26	62
Michael Grimes Podiatry · Pinole, CA	23	45
Kc Imaging, Llc Independent Diagnostic Testing Facility (IDTF) · Richmond, CA	20	31
ANTON, STEVEN	19	24
Katherine Roller Family Practice · Walnut Creek, CA	18	34
Michael Mcnamara Internal Medicine · Daly City, CA	17	41
ANTHONY, ELIZABETH	17	36

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history