Physician

Paul J Lee

According to 2025 Medicare claims, Paul Lee (NPI: 1568536043) practices ophthalmology in the Buffalo-Cheektowaga, NY market, with the plurality of this provider's patient population coming from Erie, NY. This provider's primary affiliated billing organization is OPHTHALMIC CONSULTANTS OF LONG ISLAND (NPI: 1285675660; TIN: 112498332) and primary practice location at 14127-1506.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 483 traditional Medicare patients, billed 4,469 HCPCS/CPT codes, and received $578,539 in Medicare payments. The top billing code was 92235 (Exam of retinal blood vessels using a special camera after injection of a dye). Part D data shows 1,628 prescription claims across 590 beneficiaries totaling $48,905 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 15 records totaling $459. 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 $355,894 to $578,539. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $40,934 and ending at $48,905. 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	518	3,789	$355,894
2016	595	4,637	$399,551
2017	625	4,894	$440,536
2018	630	4,649	$441,521
2019	637	5,172	$529,833
2020	553	4,412	$488,009
2021	543	4,597	$528,703
2022	554	4,972	$575,966
2023	508	4,629	$631,144
2024	483	4,469	$578,539

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	388	948	$40,934
2016	538	1,282	$53,871
2017	366	851	$34,239
2018	472	1,205	$46,584
2019	562	1,617	$69,274
2020	506	1,338	$52,270
2021	529	1,342	$49,514
2022	612	1,495	$45,084
2023	592	1,520	$50,759
2024	590	1,628	$48,905

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
92235	Exam of retinal blood vessels using a special camera after injection of a dye	93	100	$124
67028	Injection of drug into eye	102	531	$85
92014	Established patient complete exam of visual system	373	539	$82
92012	Established patient problem focused exam of visual system	211	456	$63
92134	Imaging of retina	452	1,135	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	470	13,614	$19,832
Brimonidine Tartrate	Brimonidine Tartrate	96	4,564	$7,958
Tobramycin	Tobramycin	473	9,310	$3,467
Ciprofloxacin Hcl	Ciprofloxacin Hcl	259	5,544	$3,177
Ketorolac Tromethamine	Ketorolac Tromethamine	91	2,851	$1,741

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.	15	$459	Sandoz 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 Paul J. Lee?

Tedicare shows public-source Medicare data for Paul J. Lee (NPI 1568536043), 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 Paul J. Lee have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Paul J. Lee?

Paul J. Lee is linked to OPHTHALMIC CONSULTANTS OF LONG ISLAND (billing NPI 1285675660) in the available physician profile data.

Does Paul J. Lee have Open Payments data?

Paul J. Lee has 15 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.