Active NPI 1811193865 Individual Practitioner Male Practitioner

Dr. Daniel Kilho Lee , MD

Internal Medicine • West Orange, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Lee, MD is a certified Internal Medicine practicing in West Orange, NJ. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Lee delivers high-quality medical care to the local community at 449 MOUNT PLEASANT AVE.

Dr. Lee is affiliated with Optum Medical Care Of New Jersey Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

449 Mount Pleasant Ave

West Orange, NJ 070522723

Telephone 9737317868

Associated Practice Facility / Clinic

🏢 Alpha Health Associates Llc Facility NPI 1104058460

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in West Orange, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -5.9 yrs vs City Avg

City Avg: 27.9 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

42 Specialists

Practicing in West Orange, NJ (4957 Statewide)

Telehealth Adoption Rate

31.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (22 Years) 22 Yrs

West Orange Specialty Average (27.9 Years) 27.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	511	242	$430.00	$133.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$435.00	$130.59
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	181	129	$50.29	$17.54
93000 Routine ekg using at least 12 leads including interpretation and report	174	163	$50.00	$15.82
99442 Telephone medical discussion with physician, 11-20 minutes	69	47	$305.00	$94.17
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$305.00	$98.25
G0008 Administration of influenza virus vaccine	36	36	$105.00	$35.50
90653 Vaccine for influenza for injection into muscle	35	35	$85.00	$81.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$555.00	$182.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	211	$372.18	$141.05
99213 Established patient office or other outpatient visit, typically 15 minutes	287	159	$255.29	$99.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	201	201	$405.70	$142.20
93000 Routine ekg using at least 12 leads including interpretation and report	188	178	$56.85	$16.21
G0444 Annual depression screening, 5 to 15 minutes	112	112	$63.00	$20.82
G0008 Administration of influenza virus vaccine	74	72	$48.24	$33.97
90662 Influenza vaccine split virus, preservative free	56	54	$113.64	$71.57
99442 Telephone medical discussion with physician, 11-20 minutes	32	26	$265.94	$100.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$123.44	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	227	$363.00	$141.55
99213 Established patient office or other outpatient visit, typically 15 minutes	354	176	$247.00	$100.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	238	238	$397.00	$145.43
93000 Routine ekg using at least 12 leads including interpretation and report	211	206	$59.00	$16.17
G0444 Annual depression screening, 5 to 15 minutes	196	196	$63.00	$21.08
99442 Telephone medical discussion with physician, 11-20 minutes	90	61	$255.00	$100.02
90662 Influenza vaccine split virus, preservative free	85	81	$74.00	$68.19
G0008 Administration of influenza virus vaccine	83	80	$35.00	$33.76
99497 Advance care planning, first 30 minutes	21	21	$280.00	$91.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$551.00	$186.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	386	171	$247.00	$101.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	204	$363.00	$144.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$397.00	$147.34
93000 Routine ekg using at least 12 leads including interpretation and report	217	213	$59.00	$16.93
G0444 Annual depression screening, 5 to 15 minutes	179	179	$63.00	$21.47
99442 Telephone medical discussion with physician, 11-20 minutes	137	74	$255.00	$103.56
G0008 Administration of influenza virus vaccine	70	70	$35.00	$19.52
90662 Influenza vaccine split virus, preservative free	69	69	$73.91	$65.20
99497 Advance care planning, first 30 minutes	42	42	$280.00	$92.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	174	$246.15	$84.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	198	$363.00	$121.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$396.18	$132.52
93000 Routine ekg using at least 12 leads including interpretation and report	195	187	$57.27	$19.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	183	27	$303.08	$101.96
G0444 Annual depression screening, 5 to 15 minutes	156	156	$63.00	$21.14
99497 Advance care planning, first 30 minutes	147	147	$279.11	$95.86
99442 Telephone medical discussion with physician, 11-20 minutes	131	73	$207.14	$84.05
G0008 Administration of influenza virus vaccine	84	84	$35.00	$19.03
90662 Influenza vaccine split virus, preservative free	82	82	$66.06	$60.76
99443 Telephone medical discussion with physician, 21-30 minutes	48	37	$254.00	$123.22
G0009 Administration of pneumococcal vaccine	30	29	$54.00	$18.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$127.85	$117.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$549.00	$184.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	240	$363.00	$120.45
99213 Established patient office or other outpatient visit, typically 15 minutes	359	200	$246.00	$82.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	264	105	$303.00	$99.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	250	63	$342.00	$112.86
99497 Advance care planning, first 30 minutes	209	209	$279.00	$92.96
93000 Routine ekg using at least 12 leads including interpretation and report	197	192	$57.00	$19.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$396.00	$130.38
G0444 Annual depression screening, 5 to 15 minutes	148	148	$63.00	$20.59
G0008 Administration of influenza virus vaccine	109	106	$35.00	$18.67
90662 Influenza vaccine split virus, preservative free	84	82	$63.00	$54.67
99306 Initial nursing facility visit, typically 45 minutes per day	76	69	$552.00	$182.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	39	$240.00	$79.00
85610 Blood test, clotting time	60	11	$34.53	$4.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	39	$666.00	$216.95
99239 Hospital discharge day management, more than 30 minutes	51	33	$357.00	$116.04
99316 Nursing facility discharge management, more than 30 minutes	45	42	$351.00	$113.36
G0009 Administration of pneumococcal vaccine	45	44	$54.00	$18.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	37	$150.00	$50.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	24	$231.00	$75.69
90670 Pneumococcal vaccine for injection into muscle	33	33	$245.00	$209.50
90682 Influenza vaccine, quadrivalent derived from recombinant dna	26	26	$61.62	$54.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$549.00	$182.32
99498 Advance care planning by the physician or other qualified health care professional	20	20	$246.00	$81.61
99496 Transitional care management services for problem of high complexity	17	17	$786.00	$259.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	16	16	$21.00	$16.22
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$125.00	$111.93
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$57.00	$19.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$561.00	$184.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	218	$321.10	$117.80
99213 Established patient office or other outpatient visit, typically 15 minutes	283	180	$216.49	$80.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	262	262	$356.35	$128.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	79	$222.04	$78.43
99497 Advance care planning, first 30 minutes	215	210	$277.54	$91.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	212	97	$281.47	$99.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	181	128	$132.32	$48.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	179	91	$205.61	$74.29
G0008 Administration of influenza virus vaccine	92	92	$35.00	$23.23
93000 Routine ekg using at least 12 leads including interpretation and report	92	91	$59.09	$19.14
90662 Influenza vaccine split virus, preservative free	90	90	$39.20	$37.10
99306 Initial nursing facility visit, typically 45 minutes per day	86	74	$487.28	$180.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	37	$316.19	$112.26
G0009 Administration of pneumococcal vaccine	72	72	$51.63	$23.23
90670 Pneumococcal vaccine for injection into muscle	65	65	$220.46	$199.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	47	$602.52	$218.46
99239 Hospital discharge day management, more than 30 minutes	45	33	$332.47	$117.11
99316 Nursing facility discharge management, more than 30 minutes	36	36	$326.50	$115.04
99238 Hospital discharge day management, 30 minutes or less	31	28	$229.06	$77.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$501.97	$180.87
87804 Detection test by immunoassay with direct visual observation for influenza virus	25	13	$34.44	$16.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	18	$357.20	$141.38
69210 Removal of impacted ear wax	19	14	$150.53	$54.27
99315 Nursing facility discharge day management, 30 minutes or less	18	17	$220.28	$79.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	215	$186.63	$118.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	354	88	$152.00	$77.17
99213 Established patient office or other outpatient visit, typically 15 minutes	350	205	$130.00	$80.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	303	111	$160.00	$75.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	147	$88.00	$48.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$184.00	$128.27
93000 Routine ekg using at least 12 leads including interpretation and report	135	133	$63.00	$19.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	110	56	$220.00	$99.37
G0008 Administration of influenza virus vaccine	61	61	$35.00	$29.01
90662 Influenza vaccine split virus, preservative free	59	59	$35.00	$34.30
99306 Initial nursing facility visit, typically 45 minutes per day	55	47	$310.00	$180.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	42	$245.00	$141.03
90670 Pneumococcal vaccine for injection into muscle	41	41	$216.00	$188.79
G0009 Administration of pneumococcal vaccine	41	41	$35.00	$29.01
99239 Hospital discharge day management, more than 30 minutes	39	29	$265.00	$114.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	31	$429.00	$218.18
99238 Hospital discharge day management, 30 minutes or less	37	34	$195.00	$78.70
99316 Nursing facility discharge management, more than 30 minutes	32	32	$225.00	$114.54
99315 Nursing facility discharge day management, 30 minutes or less	31	31	$169.00	$77.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	15	$216.00	$112.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	21	$308.00	$147.27
69210 Removal of impacted ear wax	12	11	$110.00	$54.84

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08282200

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License NJ 25MA08282200

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Optum Medical Care Of New Jersey Pc

506 Broadway, Bayonne, NJ 070023712

Phone: 2014717012

Optum Medical Care Of New Jersey Pc

935 River Rd, Edgewater, NJ 070202233

Phone: 2014717012

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Jon Green , MD

Internal Medicine - Gastroenterology

NPI 1245283563

Doctor of Medicine (M.D.)

Dr. Prashant Pandya , MD

Internal Medicine

NPI 1497738876

Doctor of Medicine (M.D.)

Dr. Thomas Higgins , MD

Internal Medicine - Cardiovascular Disease

NPI 1568463446

Doctor of Medicine (M.D.)

Dr. Kaushik Modi , MD

Internal Medicine - Cardiovascular Disease

NPI 1700886132

Doctor of Medicine (M.D.)

Dr. Benny Chu , DO

Internal Medicine

NPI 1851483754

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2016

Registered at 449 MOUNT PLEASANT AVE, WEST ORANGE, NJ 070522723 (Tel: 9737317868)

📍

Updated Business Mailing Address November 21, 2016

Registered at PO BOX 416457, BOSTON, MA 022416457

👤

Provider Name / Credentials Updated November 21, 2016

Recorded as DANIEL LEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Internal Medicine (License #25MA08282200 in NJ)

🟢

Initial NPI Registration & Enumeration June 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811193865

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2007

Last Update: November 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 416457

Boston, MA 022416457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.