What is Lee Congleton's specialty?

Lee Congleton (NPI 1699775718) is a Medicare-billing provider whose primary specialty is Urology in Powell, TN.

Where does Lee Congleton practice?

Lee Congleton practices in Powell, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1699775718.

How much does Medicare pay Lee Congleton?

Lee Congleton (NPI 1699775718) received approximately $401K in total Medicare Part B payments, serving 956 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1699775718

Lee CongletonM.D.

UrologyPowell, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,216

Unique beneficiaries

—

Total services

14,358

Distinct HCPCS

Medicare payment

$293K

Peer benchmark

Total Medicare services vs. 197 Urology providers in TN — top quintile (cohort median 4,616).

PRESCRIBING · PART D · 2024

Total Rx claims

4,388

Beneficiaries

—

Total drug cost

$1.8M

Distinct drugs

Brand share

53.5%

Top prescribed drugs

Alfuzosin Hcl1,347 claims

Tamsulosin Hcl695 claims

Finasteride486 claims

Oxybutynin Chloride302 claims

Solifenacin Succinate226 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

14.3

Cost

85.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$878

Payment records

By payment type

Food and Beverage$878

Top paying entities

Food and Beverage$878

REFERRAL NETWORK

Where Lee Congleton'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). 24 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Joseph Eatherly Pathology · Oak Ridge, TN	186	381
PARKWEST MEDICAL CENTER	136	415
METRO KNOXVILLE HMA LLC	133	456
Rural/Metro Of Tennessee, L.P. Ambulance Service Provider · Knoxville, TN	31	117
Christopher Ramsey Urology · Powell, TN	25	66
NICELY, ERIC	21	49
Laura Price Nurse Practitioner · Knoxville, TN	17	55
David Cox Internal Medicine · Powell, TN	17	50
John Texada Diagnostic Radiology · Knoxville, TN	16	31
Daryl Harp Diagnostic Radiology · Knoxville, TN	16	35
Krista Hodges Physician Assistant · Knoxville, TN	15	40
Antonio Ramos Internal Medicine · Knoxville, TN	14	77

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events