Medicare Enrolled

Dr. James Lee, MD

Surgery of the Hand (Plastic Surgery) Physician · Mission Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
11550 INDIAN HILLS RD STE 261, Mission Hills, CA 91345
8183610917
In practice since 2006 (19 years)
NPI: 1225065659 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Lee from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Lee

Dr. James Lee is a surgery of the hand physician in Mission Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 354 Medicare services across 204 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lee received a total of $9,129 from 33 pharmaceutical and/or device companies across 122 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery of the hand (plastic surgery) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lee is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 30% volume in CA $9,129 industry payments

Medicare Practice Summary

Medicare Utilization ↗
354
Medicare services
Top 30% in CA for surgery of the hand (plastic surgery) physician
204
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~19 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
90 $64 $227
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
89 $41 $141
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
40 $100 $378
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
30 $80 $268
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
27 $131 $489
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
25 $100 $372
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
21 $64 $237
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
18 $96 $341
Skin graft site preparation, trunk/arms/legs
Preparation of the skin area on the trunk, arms, or legs to receive a skin graft. This procedure is specified for infants and children covering 100.0 square centimeters or 1% of body area or less.
14 $179 $627
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,129
Total received (2018-2024)
Avg $1,304/year across 7 years
Top 12% in CA for surgery of the hand (plastic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
122
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,405 (81.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,724 (18.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$615
2023
$2,790
2022
$725
2021
$1,403
2020
$990
2019
$2,166
2018
$441

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$158
Aroa Biosurgery Incorporated
$138
Solventum Corporation
$64
Smith+Nephew, Inc.
$59
AXOGEN
$55
Musculoskeletal Transplant Foundation Inc.
$32
Janssen Biotech, Inc.
$29
Arteriocyte Medical Systems, Inc.
$21
LifeNet Health
$20
Integra LifeSciences Corporation
$19
Saxum Surgical, Inc.
$18
Top 3 companies account for 58.7% of 2024 payments
All-time payments by company (2018-2024) ›
AXOGEN
$1,570
Allergan, Inc.
$1,112
Medical Device Business Services, Inc.
$1,036
KCI USA, Inc
$924
KCI USA, Inc.
$904
Musculoskeletal Transplant Foundation Inc.
$733
Boston Scientific Corporation
$441
Smith+Nephew, Inc.
$380
Integra LifeSciences Corporation
$320
Allergan Inc.
$316
ABBVIE INC.
$187
Aroa Biosurgery Incorporated
$186
BOSTON SCIENTIFIC CORPORATION
$157
Janssen Biotech, Inc.
$120
ACELL, INC.
$91
Regeneron Healthcare Solutions, Inc.
$77
Nevro Corp.
$76
Solventum Corporation
$64
MEDLINE INDUSTRIES LP
$63
Mentor Worldwide LLC
$51
Osiris Therapeutics Inc.
$50
TEI Biosciences Inc
$35
Stryker Corporation
$30
Zimmer Biomet Holdings, Inc.
$27
Gilead Sciences, Inc.
$26
TESARO, Inc.
$25
Merck Sharp & Dohme LLC
$23
GENZYME CORPORATION
$22
Arteriocyte Medical Systems, Inc.
$21
LifeNet Health
$20
Saxum Surgical, Inc.
$18
Endo Pharmaceuticals Inc.
$13
Kerecis Limited
$10
Top 3 companies account for 40.7% of all-time payments
Associated products mentioned in payments ›
ACTIV.A.C. · ALLODERM · ANCHOR C · ARTOURA Breast Tissue Expander · AVVIGO · AVVIGO Guidance System · Avance Nerve Graft · AxoGuard Nerve Connector · Biomet SpinalPak · COLLAGENASE SANTYL · CREON · CROSSBOSS · DIFICID · DUPIXENT · Emerge Push · GENERAL - STENTS · GENERAL - STRUCTURAL HEART · GRAFIX PL · GRAFIX/GRAFIXPL/STRAVIX · General - Stents · Grafix PRIME · HOFFMANN · INC. · Integra · Kerecis Omega3 SurgiClose · MEDLINE INDUSTRIES · Magellan · NATRELLE · NATRELLE SALINE-FILLED BREAST IMPLANTS · OASIS · Omnia · PREVENA · REGRANEX · STELARA · STRATTICE · STRAVIX · STRAVIX PL · SURGIMEND · Senza Spinal Cord Stimulation System · Stravix · TREMFYA · TheraGenesis Wound Matrix · V.A.C. DERMATAC · V.A.C. VERAFLO · V.A.C.ULTA · VAC VERAFLO · VAC VERAFLO CLEANSE CHOICE · XIAFLEX · ZEJULA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (81%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a surgery of the hand physician in Mission Hills?
Compare surgery of the hand physicians in the Mission Hills area by procedure volume, costs, and industry payment transparency.
Browse surgery of the hand physicians nearby

Geographic Context

Surgery of the hand physicians within 10 mi
7
Per 100K population
0.1
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - PANORAMA CITY
3.1 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Lee is a clinical cardiology specialist, with above-average Medicare volume (top 30% in CA), with low-engagement industry engagement in the top 12% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lee experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Lee performed 90 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Lee receive payments from pharmaceutical companies?
Yes. Dr. Lee received a total of $9,129 from 33 companies across 122 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Lee's costs compare to other surgery of the hand physicians in Mission Hills?
Dr. Lee's average Medicare payment per service is $78. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Lee) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →