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James M Lee, MD

Emergency Medicine · San Mateo

NPI 1154470789

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Mills-Peninsula Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Lee’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A97062 · Current

Licensed to practise in California · since 2006 · expires 2027-12-31 · University of North Carolina at Chapel Hill.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025
See every measure and the patient survey for Peninsula Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Peninsula Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.139BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.242BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.21 (0.27 to 2.15) · 1,258 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.81 (0.51 to 1.1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths155.44 (112.67 to 198.21) · 90 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 32 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 82 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 188 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9 · 473 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 342 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.4 · 485 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 3,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 6,904 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,052 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.41 (1.43 to 5.39) · 1,695 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.72 (0.17 to 3.28) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,545 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.1 (1.3 to 12.9) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.96 (2.63 to 9.29) · 653 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 418 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.78) · 5,539 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 192 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.215No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.263No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.74No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 300 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 702 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits1.2 · 207 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.6 · 531 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.3 · 343 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 449 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.5 (2.8 to 7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.6 (6.7 to 13.7) · 85 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 45 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 117 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.2) · 584 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 764 casesNo differentJan 2024 – Dec 2024

What patients said (523 patients answered, 27% of those asked)

Patient survey stars by topic at Peninsula Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Peninsula Medical Center
Room was "always" clean76%
Nurses "always" communicated well81%
Doctors "always" communicated well80%
Staff "always" explained58%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$39,665

Medicare paid this office $39,665 for 253 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (45+ min)73$10,539$144
Return visit (30+ min)70$8,191$114
New patient visit (30+ min)47$3,909$83
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus26$3,634$140
Short return visit (20+ min)42$3,568$83
See all 10 services
Every Original Medicare service billed
New patient visit (45+ min)73$10,539$144
Return visit (30+ min)70$8,191$114
New patient visit (30+ min)47$3,909$83
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus26$3,634$140
Short return visit (20+ min)42$3,568$83
Long return visit (40+ min)15$2,564$171
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen22$1,106$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)28$454$16
Automated urinalysis test40$88$2
Blood creatinine level12$60$5

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None
Removal of tissue1-10None

Who their Medicare patients are

253 Original Medicare patients in 2024. Average age 77 · Women 65% · Also on Medicaid 6% · Health risk score 0.93. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 64% · Diabetes 22% · Cancer 21% · Coronary heart disease 19% · Chronic kidney disease 16% · Atrial fibrillation 15% · COPD 13% · Depression 13% · Heart failure 12% · Stroke 6%.

The office billed $139,280, Medicare allowed $52,243 and paid $39,665; for 501 services of 49 kinds; $58 of it was for drugs given in the office and $39,607 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024253501770.93$139,280$39,665
20191213682.36$4,840$1,007
20172222741.66$8,893$1,641
20151414721.62$6,985$1,241
20131212601.59$7,200$1,105

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

Medicaid work

$89 in 2023

Medicaid paid $89 for 12 billed services this clinician did in 2023, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT LOW MDM12$89
Medicaid work by year
202312112$89
202229116$173
201912112$49
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM29$173

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM12$49

Drugs they prescribed that Part D paid

$3,654

Pharmacies billed $3,654 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

186 generic and fewer than 11 brand-name prescriptions · $3,654 in drug cost · 85 antibiotic prescriptions to 69 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Cephalexin18$106$6
Amoxicillin-Clavulanate Potass11$91$8
Cefadroxil11$76$7
Azithromycin12$50$4
Prednisone15$46$3
See all 6 drugs
Every Part D drug this clinician prescribed
Cephalexin18$106$6
Amoxicillin-Clavulanate Potass11$91$8
Cefadroxil11$76$7
Azithromycin12$50$4
Prednisone15$46$3
Paxlovid12$0$0

Year by year

Part D prescribing by year
2024211160NoneNone$3,654
202315410912% (19)None$3,409
202213810312% (17)None$3,525
2021967314% (13)None$1,780
2020967412% (11)None$3,734
201915210010% (15)None$5,756
2018998225% (25)None$2,676
201716512819% (31)None$5,833
201613910912% (17)None$3,758
201516512421% (35)8%$4,121
201416413724% (39)12%$3,966
201316813523% (38)18%$4,330

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Cefadroxil19$231$12
Cephalexin13$139$11

2022: 2 drugs

Part D drugs prescribed in 2022
Cephalexin11$103$9
Oxycodone12$77$6

2019: 2 drugs

Part D drugs prescribed in 2019
Cefadroxil12$138$12
Hydrocodone-Acetaminophen13$86$7

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen21$169$8

2017: 2 drugs

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen27$332$12
Cephalexin16$165$10

2016: 2 drugs

Part D drugs prescribed in 2016
Cephalexin30$310$10
Hydrocodone-Acetaminophen11$142$13

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen27$441$16
Cephalexin27$259$10

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen28$299$11
Cephalexin21$244$12

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen30$275$9
Cephalexin16$187$12

Money from drug and device companies

$4 in 2021

A payment is not proof that care is biased.

Payments by company
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$4
1 payment
  • Meals for Lifevest · 2021-07-20 · $4
See the published payment
Every published payment
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2021-07-20Lifevest$4

Professional record

NPI
1154470789
Licence
CA A97062California A97062: Current · expires 2027-12-31
Trained
University of North Carolina at Chapel Hill School of Medicine, 2004
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2007-01-10
NPI last updated
2024-01-26
NPI record certified
2024-01-26

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 2315 Stockton Blvd, Sacramento, CA, 95817

This office lists an electronic records connection.