Medicare Enrolled
Dr. James Lee, M.D.
Family Medicine · West Sacramento, 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 family medicine specialist in West Sacramento, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 1,808 Medicare services across 1,140 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lee received a total of $5,987 from 36 pharmaceutical and/or device companies across 338 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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 12% volume in CA
$5,987 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,808
Medicare services
Top 12% in CA for family medicine
1,140
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~95 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, 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. |
297 | $46 | $89 |
| 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. |
217 | $80 | $227 |
| 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. |
169 | $48 | $154 |
| 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. |
139 | $42 | $120 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
82 | $6 | $6 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
82 | $135 | $353 |
| Annual alcohol misuse screening, 5 to 15 minutes | 80 | $20 | $35 |
| 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. |
78 | $36 | $80 |
| Annual depression screening | 73 | $20 | $40 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
72 | $10 | $52 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
69 | $6 | $28 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
65 | $27 | $40 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
53 | $10 | $22 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
40 | $13 | $70 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
40 | $3 | $20 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
38 | $80 | $178 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
37 | $6 | $13 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
37 | $5 | $13 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
27 | $16 | $35 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
24 | $10 | $52 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
23 | $32 | $52 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
19 | $72 | $90 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
19 | $111 | $199 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
14 | $14 | $44 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
14 | $17 | $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 ↗$5,987
Total received (2018-2024)
Avg $855/year across 7 years
Top 7% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
338
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
$5,987 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$67
2023
$53
2022
$599
2021
$1,650
2020
$830
2019
$1,562
2018
$1,227
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$52
ABBVIE INC.
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$940
Janssen Pharmaceuticals, Inc
$758
Novo Nordisk Inc
$691
Lilly USA, LLC
$569
SANOFI-AVENTIS U.S. LLC
$390
Bayer HealthCare Pharmaceuticals Inc.
$331
PFIZER INC.
$307
Abbott Laboratories
$278
Boehringer Ingelheim Pharmaceuticals, Inc.
$267
GlaxoSmithKline, LLC.
$225
Merck Sharp & Dohme Corporation
$212
Biohaven Pharmaceuticals, Inc.
$187
Amarin Pharma Inc.
$124
Amgen Inc.
$119
AbbVie Inc.
$82
Teva Pharmaceuticals USA, Inc.
$77
ABBVIE INC.
$44
Otsuka America Pharmaceutical, Inc.
$38
UCB, Inc.
$34
Hologic, LLC
$34
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$26
Medtronic, Inc.
$24
SANOFI PASTEUR INC.
$23
Allergan, Inc.
$22
Philips Electronics North America Corporation
$21
Forte Bio-Pharma LLC
$20
Genentech USA, Inc.
$19
Merck Sharp & Dohme LLC
$18
Alnylam Pharmaceuticals Inc.
$17
Gilead Sciences, Inc.
$16
Cranial Technologies, Inc
$15
QIAGEN SCIENCES LLC
$15
Bayer Healthcare Pharmaceuticals Inc.
$13
Biohaven Pharmaceutical Holding Company Ltd.
$12
Ferring Pharmaceuticals Inc.
$11
Janssen Biotech, Inc.
$8
Top 3 companies account for 39.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AJOVY · AUSTEDO · Absolute Pro vascular stent system · Age Based Codes · Aimovig · BASAGLAR · BEVESPI AEROSPHERE · BEXSERO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · Briviact · CHANTIX · COLOGUARD · Descovy · Doc Band · EMGALITY · EUCRISA · EUFLEXXA · FARXIGA · FLECTOR PATCH · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL 9 · INTELLIS ADAPTIVESTIM · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LYRICA · MDx Quantiferon · Mirena · NUCALA · NURTEC ODT · Nalocet · OPSUMIT · OXLUMO · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · RELISTOR · REYVOW · ROTATEQ · RYBELSUS · Respiratoriy Care Undiv · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SYMBICORT · TOUJEO · TREMFYA · TRULICITY · ThinPrep · UBRELVY · Vascepa · Victoza · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6
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. Total industry engagement is in the top 7% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
982
Per 100K population
450.9
County median income
$88,818
Nearest hospital
SUTTER MEDICAL CENTER, SACRAMENTO
7.8 mi
7.8 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 12% in CA), with low-engagement industry engagement in the top 7% 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 chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Lee performed 297 chronic care management, first 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 $5,987 from 36 companies across 338 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 family medicine physicians in West Sacramento?
Dr. Lee's average Medicare payment per service is $42. 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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