Physician

Shelly Lee, MD

According to 2025 Medicare claims, Shelly Lee, MD (NPI: 1285817288) practices ophthalmology in the Spokane-Spokane Valley, WA market, with the plurality of this provider's patient population coming from Spokane, WA. This provider's primary affiliated billing organization is SPOKANE EYE CLINIC PS (NPI: 1730187899; TIN: 910852217) and primary practice location at 99204-2509. Lee is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 417 traditional Medicare patients, billed 154,104 HCPCS/CPT codes, and received $2,190,398 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 728 prescription claims across 149 beneficiaries totaling $38,190 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 9 records totaling $8,329. 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 has moved sharply higher in recent years, from $43,967 to $2,190,398. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $26,658 and ending at $38,190. 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	173	892	$43,967
2016	69	481	$27,270
2017	N/R	N/R	N/R
2018	240	1,076	$82,559
2019	364	2,533	$327,685
2020	453	3,859	$775,363
2021	495	6,013	$1,382,381
2022	534	8,578	$1,746,018
2023	435	16,418	$1,972,992
2024	417	154,104	$2,190,398

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	68	446	$26,658
2016	48	224	$13,039
2017	15	51	$2,850
2018	84	426	$42,139
2019	152	668	$47,657
2020	129	499	$41,805
2021	122	538	$80,170
2022	140	587	$96,339
2023	136	728	$48,535
2024	149	728	$38,190

DME Billing Trend

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

No connected DME records

* / # = 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
J0178	Injection, aflibercept, 1 mg	125	1,508	$658
67028	Injection of drug into eye	215	1,112	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	271	$95
92134	Imaging of retina	410	1,604	$29
J2403	Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	93	131,800	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	150	6,266	$7,387
Mycophenolate Mofetil	Mycophenolate Mofetil	37	1,230	$3,541
Difluprednate	Difluprednate	14	324	$2,636
Atropine Sulfate	Atropine Sulfate	69	2,623	$2,259
Ketorolac Tromethamine	Ketorolac Tromethamine	32	2,265	$1,732

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.	7	$244	Astellas Pharma US Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$8,085	Genentech, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	1	$7,384	US Retina LLC

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FAQ

What Medicare data is available for Shelly Lee, MD?

Tedicare shows public-source Medicare data for Shelly Lee, MD (NPI 1285817288), 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 Shelly Lee, MD have ACO affiliation data?

Shelly Lee, MD is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Shelly Lee, MD?

Shelly Lee, MD is linked to SPOKANE EYE CLINIC PS (billing NPI 1730187899) in the available physician profile data.

Does Shelly Lee, MD have Open Payments data?

Shelly Lee, MD has 9 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.