Physician

Eric S Lee, M.D.

According to 2025 Medicare claims, Eric Lee, M.D. (NPI: 1356329981) practices ophthalmology in the Arlington-Alexandria-Reston, VA-WV market, with the plurality of this provider's patient population coming from Prince William, VA. This provider's primary affiliated billing organization is THE RETINA GROUP OF WASHINGTON, PLLC (NPI: 1225001654; TIN: 521570295) and primary practice location at 22401-7231. Lee is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,419 traditional Medicare patients, billed 24,421 HCPCS/CPT codes, and received $2,653,636 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 305 prescription claims across 92 beneficiaries totaling $19,927 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 11 records totaling $312. 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 from a lower plateau to a higher plateau, from $1,085,778 to $2,653,636. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $16,588 and ending at $19,927. 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	1,063	9,521	$1,085,778
2016	1,269	11,256	$1,279,275
2017	1,394	13,992	$1,615,135
2018	1,391	15,408	$1,907,316
2019	1,491	17,510	$2,450,256
2020	1,315	13,077	$2,227,572
2021	1,413	14,911	$2,476,148
2022	1,414	14,361	$2,393,987
2023	1,453	20,102	$2,641,662
2024	1,419	24,421	$2,653,636

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	70	223	$16,588
2016	71	243	$12,893
2017	89	252	$13,697
2018	93	269	$16,733
2019	76	218	$13,289
2020	70	218	$16,040
2021	81	218	$13,817
2022	63	185	$10,978
2023	64	180	$9,590
2024	92	305	$19,927

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
67028	Injection of drug into eye	268	1,378	$86
92014	Established patient complete exam of visual system	1,300	2,768	$84
92134	Imaging of retina	1,340	3,123	$29
92201	Extended exam of the back part of the eye with retinal drawing	406	480	$17
92202	Extended exam of the back part of the eye with optic nerve drawing	1,066	1,820	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	65	3,189	$2,796
Dorzolamide-Timolol	Dorzolamide/Timolol/Pf	11	330	$1,193
Difluprednate	Difluprednate	24	510	$886
Ketorolac Tromethamine	Ketorolac Tromethamine	46	2,368	$784
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	23	1,490	$296

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.	11	$312	Genentech USA, Inc.
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

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FAQ

What Medicare data is available for Eric S. Lee, M.D.?

Tedicare shows public-source Medicare data for Eric S. Lee, M.D. (NPI 1356329981), 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 Eric S. Lee, M.D. have ACO affiliation data?

Eric S. Lee, M.D. is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Eric S. Lee, M.D.?

Eric S. Lee, M.D. is linked to THE RETINA GROUP OF WASHINGTON, PLLC (billing NPI 1225001654) in the available physician profile data.

Does Eric S. Lee, M.D. have Open Payments data?

Eric S. Lee, M.D. has 11 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.