Medicare Enrolled
Dr. James Lee, MD
Gastroenterology · Orange, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 gastroenterology specialist in Orange, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 2,484 Medicare services across 1,157 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lee received a total of $12,510 from 48 pharmaceutical and/or device companies across 706 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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.
✓ 20 years in practice
▲ Top 6% volume in CA
$12,510 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,484
Medicare services
Top 6% in CA for gastroenterology
1,157
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~124 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 |
|---|---|---|---|
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
800 | $40 | $240 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
481 | $52 | $300 |
| 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. |
258 | $68 | $440 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
156 | $200 | $1,085 |
| 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. |
121 | $98 | $600 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
118 | $64 | $605 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
104 | $78 | $540 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
92 | $105 | $852 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
72 | $46 | $280 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
68 | $42 | $240 |
| 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. |
52 | $134 | $780 |
| 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. |
30 | $66 | $359 |
| Liver stiffness measurement A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring. |
23 | $27 | $160 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
19 | $46 | $360 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
19 | $187 | $768 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
18 | $40 | $280 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
15 | $18 | $120 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
14 | $97 | $638 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
12 | $176 | $787 |
| Moderate sedation during GI endoscopy Sedation services provided by the physician performing a gastrointestinal endoscopic procedure. This requires an independent trained observer to assist in monitoring the patient. |
12 | $5 | $40 |
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 ↗$12,510
Total received (2018-2024)
Avg $1,787/year across 7 years
Top 16% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
706
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
$12,490 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,596
2023
$2,579
2022
$2,207
2021
$1,604
2020
$718
2019
$1,478
2018
$1,327
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$903
Ardelyx, Inc.
$196
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$194
QOL Medical, LLC
$190
PFIZER INC.
$155
Madrigal Pharmaceuticals
$151
GENZYME CORPORATION
$137
Phathom Pharmaceuticals, Inc.
$101
Celgene Corporation
$80
Takeda Pharmaceuticals U.S.A., Inc.
$77
Janssen Biotech, Inc.
$67
Lilly USA, LLC
$65
AIMMUNE THERAPEUTICS, INC.
$63
Boehringer Ingelheim Pharmaceuticals, Inc.
$52
Ferring Pharmaceuticals Inc.
$39
ALBIREO PHARMA, INC.
$37
Amgen Inc.
$32
IRONWOOD PHARMACEUTICALS, INC
$22
Celltrion USA Inc.
$21
VIVUS LLC
$15
Top 3 companies account for 49.8% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$2,310
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$2,223
Takeda Pharmaceuticals U.S.A., Inc.
$905
Celgene Corporation
$785
Janssen Biotech, Inc.
$756
AbbVie Inc.
$717
PFIZER INC.
$488
QOL Medical, LLC
$415
AbbVie, Inc.
$363
Gilead Sciences, Inc.
$330
GENZYME CORPORATION
$325
Ferring Pharmaceuticals Inc.
$297
Ardelyx, Inc.
$229
Intercept Pharmaceuticals, Inc.
$195
Madrigal Pharmaceuticals
$151
Merck Sharp & Dohme Corporation
$142
Boehringer Ingelheim Pharmaceuticals, Inc.
$136
Amgen Inc.
$124
Daiichi Sankyo Inc.
$123
Nestle HealthCare Nutrition Inc.
$118
Allergan Inc.
$116
Shionogi Inc
$114
Phathom Pharmaceuticals, Inc.
$101
Ironwood Pharmaceuticals, Inc
$95
Braintree Laboratories, Inc.
$86
UCB, Inc.
$83
INTERCEPT PHARMACEUTICALS, INC.
$78
Fresenius Kabi USA, LLC
$76
RedHill Biopharma Inc.
$75
Lilly USA, LLC
$65
AIMMUNE THERAPEUTICS, INC.
$63
Shield Therapeutics Inc
$43
Prometheus Laboratories Inc.
$39
INTRA-SANA LABORATORIES
$38
ALBIREO PHARMA, INC.
$37
Shire North American Group Inc
$35
Ethicon US, LLC
$33
Alnylam Pharmaceuticals Inc.
$24
IRONWOOD PHARMACEUTICALS, INC
$22
Celltrion USA Inc.
$21
ERBE USA Inc
$20
AMAG Pharmaceuticals, Inc.
$20
Cook Medical LLC
$18
NESTLE HEALTHCARE NUTRITION INC.
$17
Exact Sciences Corporation
$17
Evoke Pharma, Inc.
$16
VIVUS LLC
$15
Allergan, Inc.
$12
Top 3 companies account for 43.5% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · APRISO · AVSOLA · Amitiza · CIMZIA · CLENPIQ · CREON · CYLTEZO · Cimzia · Cologuard Collection Kit · Cook Medical Hemospray · DIFICID · DUPIXENT · ENTYVIO · ERBE · Entyvio · FERAHEME · GATTEX · GIMOTI · GIVLAARI · HUMIRA · Humira · IBSRELA · IDACIO · INJECTAFER · IQIRVO · LINX Reflux Management System · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Motegrity · Movantik · Mulpleta · OCALIVA · OMVOH · PREPOPIK · QSYMIA · REBYOTA · RELISTOR ORAL · RELTONE 200 MG · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUTAB · Sucraid · Symproic · TAVNEOS · TREMFYA · TRULANCE · Talicia · UCERIS · VIBERZI · VOQUEZNA · VOWST · VRAYLAR · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · ZYMFENTRA
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Gastroenterologists within 10 mi
290
Per 100K population
9.2
County median income
$113,702
Nearest hospital
PROVIDENCE ST. JOSEPH HOSPITAL
0.0 mi
0.0 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 6% in CA), with low-engagement industry engagement in the top 16% of CA peers, with 20 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 chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Lee performed 800 chronic care management, additional 20 min/month 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 $12,510 from 48 companies across 706 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 gastroenterologists in Orange?
Dr. Lee's average Medicare payment per service is $68. 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 →
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See all physicians who received payments from Salix Pharmaceuticals, a division of Bausch Health US, LLC.
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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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