Physician

Thomas Lee, MD

According to 2025 Medicare claims, Thomas Lee, MD (NPI: 1497774004) practices internal medicine in the Wilmington, NC market, with the plurality of this provider's patient population coming from New Hanover, NC. This provider's primary affiliated billing organization is NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC (NPI: 1740875806; TIN: 581728803) and primary practice location at 28411-9453. Lee is affiliated with the Physician Quality Partners, LLC (ACO ID: A2778) 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 619 traditional Medicare patients, billed 22,849 HCPCS/CPT codes, and received $393,935 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,691 prescription claims across 753 beneficiaries totaling $714,251 in drug costs, led by Ozempic (Semaglutide). DME data shows 71 claims. Open Payments data shows 2 records totaling $284. 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 risen steadily, from $158,390 to $393,935. Similarly, Part D prescription costs have risen steadily, from $126,241 to $714,251. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $3,078 to $12,360.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$213K$425K2015 Medicare payment: $158,390 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $306,660 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $349,730 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $412,311 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $417,896 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $381,183 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $425,411 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $399,470 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $392,726 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $393,935 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157648,809$158,390
201683018,287$306,660
201798124,864$349,730
201867831,466$412,311
201970436,653$417,896
202066228,284$381,183
202175132,949$425,411
202269032,073$399,470
202367029,191$392,726
202461922,849$393,935

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$357K$714K2015 Drug cost: $126,241 (USD; Tot_Drug_Cst)2016 Drug cost: $321,717 (USD; Tot_Drug_Cst)2017 Drug cost: $397,969 (USD; Tot_Drug_Cst)2018 Drug cost: $472,405 (USD; Tot_Drug_Cst)2019 Drug cost: $502,591 (USD; Tot_Drug_Cst)2020 Drug cost: $562,852 (USD; Tot_Drug_Cst)2021 Drug cost: $542,469 (USD; Tot_Drug_Cst)2022 Drug cost: $510,572 (USD; Tot_Drug_Cst)2023 Drug cost: $585,110 (USD; Tot_Drug_Cst)2024 Drug cost: $714,251 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154152,136$126,241
20165265,065$321,717
20175566,387$397,969
20185807,127$472,405
20196497,768$502,591
20206478,648$562,852
20216788,530$542,469
20226788,517$510,572
20236788,653$585,110
20247539,691$714,251

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.7K$13K2016 Medicare payment: $2,137 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,839 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,758 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,001 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,121 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,741 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $9,703 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $13,322 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,168 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
20161663$2,137
201722119$1,839
201844150$3,758
201930150$4,001
202023171$5,121
202135135$4,741
202225192$9,703
202319164$13,322
20241371$9,168

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more465901$81
80061Blood test, lipids (cholesterol and triglycerides)482774$13
80053Blood test, comprehensive group of blood chemicals502883$10
36415Insertion of needle into vein for collection of blood sample5281,112$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count501880$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1284,428$133,309
EliquisApixaban604,200$81,202
JardianceEmpagliflozin342,249$42,508
FarxigaDapagliflozin Propanediol272,070$36,851
JanuviaSitagliptin Phosphate161,440$26,163

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R18$7,795
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R13$891
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1329$389
E0149Walker, heavy duty, wheeled, rigid or folding, any typeYN/R11$93

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$284Abbott Laboratories
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Thomas Lee, MD?

Tedicare shows public-source Medicare data for Thomas Lee, MD (NPI 1497774004), 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 Thomas Lee, MD have ACO affiliation data?

Thomas Lee, MD is shown with ACO affiliation data for Physician Quality Partners, LLC (MSSP, ACO ID A2778) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Thomas Lee, MD?

Thomas Lee, MD is linked to NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC (billing NPI 1740875806) in the available physician profile data.

Does Thomas Lee, MD have Open Payments data?

Thomas Lee, MD has 2 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.