Physician

Delna E Lee, MD

According to 2025 Medicare claims, Delna Lee, MD (NPI: 1629039359) practices family practice in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is FAMILY HEALTH CARE OF SIOUXLAND PLC (NPI: 1437170685; TIN: 753057963) and primary practice location at 51106-4706. Lee is affiliated with the Stratum Med ACO (ACO ID: A4527), participating under the MSSP model.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 433 traditional Medicare patients, billed 14,284 HCPCS/CPT codes, and received $281,193 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 8,815 prescription claims across 653 beneficiaries totaling $422,352 in drug costs, led by Eliquis (Apixaban). DME data shows 445 claims. Open Payments data shows 8 records totaling $128. 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 $179,430 to $281,193. Similarly, Part D prescription costs have risen steadily, from $289,403 to $422,352. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $23,324 and ending at $18,930.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	389	8,285	$179,430
2016	434	8,712	$182,935
2017	399	8,528	$183,985
2018	381	6,830	$169,506
2019	379	7,402	$189,443
2020	421	8,277	$193,591
2021	390	9,861	$235,169
2022	368	9,350	$222,544
2023	354	9,370	$239,525
2024	433	14,284	$281,193

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	418	8,418	$289,403
2016	387	7,864	$249,742
2017	354	6,889	$257,309
2018	382	6,597	$260,090
2019	357	6,674	$270,834
2020	427	6,991	$296,893
2021	459	7,662	$358,239
2022	490	7,768	$374,237
2023	494	7,874	$359,025
2024	653	8,815	$422,352

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	130	415	$20,616
2016	135	346	$11,217
2017	99	296	$5,611
2018	148	467	$7,727
2019	148	415	$8,184
2020	190	440	$13,082
2021	163	440	$13,487
2022	167	403	$14,605
2023	152	418	$17,629
2024	163	445	$16,973

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	715	$78
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	253	638	$11
80053	Blood test, comprehensive group of blood chemicals	278	453	$10
36415	Insertion of needle into vein for collection of blood sample	365	811	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	302	537	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	156	5,132	$98,282
Ozempic	Semaglutide	76	2,486	$70,936
Farxiga	Dapagliflozin Propanediol	28	1,543	$27,789
Myrbetriq	Mirabegron	46	1,068	$16,325
Tradjenta	Linagliptin	30	958	$15,886

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7032	Cushion for use on nasal mask interface, replacement only, each	N	18	36	$3,303
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	31	59	$3,073
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	12	$2,461
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	57	$1,908
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	N	N/R	21	$1,740

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$128	PFIZER 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 Delna E. Lee, MD?

Tedicare shows public-source Medicare data for Delna E. Lee, MD (NPI 1629039359), 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 Delna E. Lee, MD have ACO affiliation data?

Delna E. Lee, MD is shown with ACO affiliation data for Stratum Med ACO (MSSP, ACO ID A4527).

What billing organization is linked to Delna E. Lee, MD?

Delna E. Lee, MD is linked to FAMILY HEALTH CARE OF SIOUXLAND PLC (billing NPI 1437170685) in the available physician profile data.

Does Delna E. Lee, MD have Open Payments data?

Delna E. Lee, MD has 8 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.