Physician

Jacob Lee, D.O.

According to 2025 Medicare claims, Jacob Lee, D.O. (NPI: 1205151875) practices interventional pain management (ipm) in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Winchester City, VA. This provider's primary affiliated billing organization is PHYSICAL MEDICINE ASSOCIATES, LTD (NPI: 1003884560; TIN: 540909433) and primary practice location at 22601-5487. Lee is affiliated with the Sunflower ACO LLC (ACO ID: A5499) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 457 traditional Medicare patients, billed 4,789 HCPCS/CPT codes, and received $311,175 in Medicare payments. The top billing code was 64635 (Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint). Part D data shows 2,174 prescription claims across 533 beneficiaries totaling $109,323 in drug costs, led by Xtampza Er (Oxycodone Myristate). 2019 DME data shows 36 claims. Open Payments data shows 99 records totaling $3,924. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $22,233 and ending at $109,323. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	276	1,528	$100,986
2016	566	6,074	$297,654
2017	1,072	7,930	$501,199
2018	849	8,301	$515,481
2019	653	8,374	$476,785
2020	633	6,650	$382,774
2021	536	6,692	$424,953
2022	520	6,241	$372,813
2023	502	9,077	$365,783
2024	457	4,789	$311,175

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	166	423	$22,233
2016	426	2,521	$174,690
2017	557	4,278	$285,642
2018	497	3,333	$247,951
2019	542	2,989	$243,366
2020	592	3,649	$281,713
2021	601	3,015	$210,110
2022	567	3,681	$275,956
2023	578	2,829	$182,388
2024	533	2,174	$109,323

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	15	15	$11,111
2018	13	13	$9,393
2019	12	36	$12,104
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	66	76	$481
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	103	127	$208
64484	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	89	109	$94
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	236	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	115	153	$66

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtampza Er	Oxycodone Myristate	31	885	$19,694
Belbuca	Buprenorphine Hcl	20	598	$15,586
Oxycontin	Oxycodone Hcl	14	397	$6,924
Buprenorphine	Buprenorphine	25	714	$5,525
Fentanyl	Fentanyl	58	1,695	$4,533

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	99	$3,924	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Jacob Lee, D.O.?

Tedicare shows public-source Medicare data for Jacob Lee, D.O. (NPI 1205151875), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jacob Lee, D.O. have ACO affiliation data?

Jacob Lee, D.O. is shown with ACO affiliation data for Sunflower ACO LLC (MSSP, ACO ID A5499) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jacob Lee, D.O.?

Jacob Lee, D.O. is linked to PHYSICAL MEDICINE ASSOCIATES, LTD (billing NPI 1003884560) in the available physician profile data.

Does Jacob Lee, D.O. have Open Payments data?

Jacob Lee, D.O. has 99 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.