Medicare Enrolled
Dr. Kai Lee, MD
Neurology · Walnut Creek, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Kai Lee is a neurology specialist in Walnut Creek, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 12,062 Medicare services across 874 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lee received a total of $4,128 from 54 pharmaceutical and/or device companies across 181 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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 9% volume in CA
$4,128 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,062
Medicare services
Top 9% in CA for neurology
874
Unique beneficiaries
$15
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~635 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
11,000 | $5 | $15 |
| 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. |
584 | $111 | $460 |
| New patient office visit, complex (60-74 min) | 87 | $198 | $770 |
| 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. |
70 | $70 | $237 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
69 | $152 | $663 |
| 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. |
53 | $138 | $585 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
40 | $50 | $200 |
| 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. |
37 | $111 | $450 |
| 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. |
32 | $105 | $342 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 25 | $80 | $180 |
| 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. |
20 | $44 | $129 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
19 | $153 | $635 |
| Prolonged inpatient or observation care, each additional 15 minutes This code is used for prolonged hospital inpatient or observation care services that extend beyond the total time required for the primary evaluation and management service. It covers each additional 15-minute increment of time spent by the provider. |
15 | $27 | $108 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
11 | $485 | $1,720 |
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 ↗$4,128
Total received (2018-2024)
Avg $590/year across 7 years
Top 34% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
181
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
$3,750 (90.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$209 (5.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$169 (4.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,100
2023
$731
2022
$436
2021
$668
2020
$461
2019
$465
2018
$267
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Alexion Pharmaceuticals, Inc.
$209
ABBVIE INC.
$200
Merz Pharmaceuticals, LLC
$91
Novartis Pharmaceuticals Corporation
$79
Lilly USA, LLC
$73
Genentech USA, Inc.
$52
Eisai Inc.
$39
NEUROPACE, INC.
$35
Lundbeck LLC
$35
PFIZER INC.
$33
AstraZeneca Pharmaceuticals LP
$32
Otsuka America Pharmaceutical, Inc.
$29
Biogen, Inc.
$25
SK Life Science, Inc.
$25
GE HEALTHCARE
$25
BANNER LIFE SCIENCES, LLC
$22
ARGENX US, INC.
$22
Amgen Inc.
$21
Ceribell, Inc.
$20
Teva Pharmaceuticals USA, Inc.
$20
Alnylam Pharmaceuticals Inc.
$13
Top 3 companies account for 45.4% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$404
Biogen, Inc.
$313
Teva Pharmaceuticals USA, Inc.
$279
Alexion Pharmaceuticals, Inc.
$248
AbbVie Inc.
$214
Lilly USA, LLC
$211
Allergan, Inc.
$193
Merz Pharmaceuticals, LLC
$167
Kyowa Kirin, Inc.
$152
Novartis Pharmaceuticals Corporation
$147
UCB, Inc.
$114
Neurocrine Biosciences, Inc.
$110
Genentech USA, Inc.
$99
CSL Behring
$83
Amneal Pharmaceuticals LLC
$82
GENZYME CORPORATION
$65
Octapharma USA, Inc.
$57
ARGENX US, INC.
$52
PFIZER INC.
$51
Allergan Inc.
$50
Amgen Inc.
$48
Biohaven Pharmaceuticals, Inc.
$48
TG THERAPEUTICS, INC.
$47
BANNER LIFE SCIENCES, LLC
$46
Avanir Pharmaceuticals, Inc.
$45
ACADIA Pharmaceuticals Inc
$45
Medtronic USA, Inc.
$44
SK Life Science, Inc.
$41
Alnylam Pharmaceuticals Inc.
$39
Eisai Inc.
$39
NEUROPACE, INC.
$35
Lundbeck LLC
$35
US WorldMeds, LLC
$33
AstraZeneca Pharmaceuticals LP
$32
MITSUBISHI TANABE PHARMA AMERICA, INC.
$29
Supernus Pharmaceuticals, Inc.
$29
Otsuka America Pharmaceutical, Inc.
$29
INSIGHTEC,INC
$26
PORTOLA PHARMACEUTICALS, INC.
$25
Otsuka Pharmaceutical Development & Commercialization, Inc.
$25
Abbott Laboratories
$25
Adamas Pharmaceuticals, Inc.
$25
GE HEALTHCARE
$25
Horizon Therapeutics plc
$23
Banner Life Sciences, LLC
$23
EMD Serono, Inc.
$22
Janssen Pharmaceuticals, Inc
$22
Upsher-Smith Laboratories LLC
$22
Sunovion Pharmaceuticals Inc.
$21
Ceribell, Inc.
$20
Vertical Pharmaceuticals, LLC
$18
MDD US Operations, LLC
$17
Vertiflex, Inc.
$17
GE Healthcare
$17
Top 3 companies account for 24.1% of all-time payments
Associated products mentioned in payments ›
ACTIVA · ADUHELM · AJOVY · AMVUTTRA · AMYVID · ANDEXXA · AUBAGIO · AUSTEDO · AVONEX · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BOTOX COSMETIC · BRIUMVI · Briviact · COMIRNATY · DUOPA · EMGALITY · Enspryng · Exablate · Fintepla · GILENYA · GOCOVRI · Hizentra · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KISUNLA · KYNMOBI · LEMTRADA · LUMIZYME · Leqembi · MAYZENT · NOURIANZ · NUPLAZID · NURTEC ODT · Nourianz · Nuedexta · OCREVUS · ONGENTYS · ONPATTRO · OSMOLEX ER · Ocrevus · Ongentys · PANZYGA · POCKET EEG DEVICE · Ponvory · QULIPTA · RADICAVA · REXULTI · RNS Neurostimulator Kit · RYTARY · SOLIRIS · Superion ISS · TECFIDERA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · UBRELVY · ULTOMIRIS · UPLIZNA · VYALEV · VYEPTI · VYVGART · Vimpat · WAINUA · Xadago · Xeomin
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurologists within 10 mi
207
Per 100K population
17.8
County median income
$125,727
Nearest hospital
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS
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 mixed practice specialist, with above-average Medicare volume (top 9% in CA), with low-engagement industry engagement, 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 botox injection, per unit?
Based on Medicare claims data, Dr. Lee performed 11,000 botox injection, per unit 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 $4,128 from 54 companies across 181 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 neurologists in Walnut Creek?
Dr. Lee's average Medicare payment per service is $15. 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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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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