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Alexander C Lee, MD

Ophthalmology · San Jose

NPI 1497834147

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1

Offices

1 location · Alexander C Lee MD A Medical Corporation · 2 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lee’s office at (408) 502-6188 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026

California Medical Board record

Licence A87178 · Current

Licensed to practise in California · since 2004 · expires 2028-04-30 · University of California, San Diego School of Medicine.

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

Original Medicare doctor bills

$43,673

Medicare paid this office $43,673 for 90 people.

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

Largest Original Medicare bills
Return visit (30+ min)63$20,239$116
Exam of visual field with extended testing52$4,870$62
Established patient complete exam of visual system42$4,592$96
New patient visit (45+ min)23$2,798$122
Imaging of optic nerve48$1,998$34
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)63$20,239$116
Exam of visual field with extended testing52$4,870$62
Established patient complete exam of visual system42$4,592$96
New patient visit (45+ min)23$2,798$122
Imaging of optic nerve48$1,998$34
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's61$1,837$15
Exam of the internal drainage system of eye53$1,384$26
Photography of the retina35$1,192$34
Imaging of retina12$606$38
Ultrasound scan of cornea to determine thickness11$112$10

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Who their Medicare patients are

90 Original Medicare patients in 2024. Average age 73 · Women 46% · Health risk score 0.81. At or below the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 60% · Diabetes 30% · Cancer 14% · Coronary heart disease 13% · Chronic kidney disease 12%.

The office billed $91,479, Medicare allowed $60,160 and paid $43,673; for 639 services of 18 kinds.

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
202490639730.81$91,479$43,673
202382372740.88$75,447$36,075
2022488732812.02$137,496$80,744
20212,1963,204802.18$567,051$394,257
20202,2142,753812.11$452,375$336,598
20193,8345,703812.36$946,399$684,519
20183,9506,002812.31$963,848$640,139
20173,7595,947812.33$911,926$595,168
20163,5585,615822.57$898,719$611,295
20153,5195,505822.42$874,186$594,633
20143,6105,907812.34$903,103$604,138
20133,2525,472822.24$801,790$542,720

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.

See the services billed each year

2023: 7 services

Original Medicare services billed in 2023
Return visit (30+ min)39$10,045$114
Established patient complete exam of visual system54$8,294$111
New patient visit (45+ min)25$3,931$157
Exam of visual field with extended testing38$3,333$58
Imaging of optic nerve31$1,378$34
Photography of the retina23$857$37
Exam of the internal drainage system of eye22$602$26

2022: 9 services

Original Medicare services billed in 2022
Established patient complete exam of visual system337$43,858$119
New patient complete exam of visual system92$12,770$139
Return visit (30+ min)27$6,057$119
Established patient problem focused exam of visual system54$4,966$86
Exam of visual field with extended testing28$2,365$61
New patient visit (45+ min)13$1,969$151
Exam of the internal drainage system of eye36$993$28
Imaging of optic nerve21$980$36
Photography of the retina20$709$35

2021: 8 services

Original Medicare services billed in 2021
Established patient complete exam of visual system1,511$254,674$125
New patient complete exam of visual system761$110,920$146
Established patient problem focused exam of visual system132$11,565$88
Return visit (30+ min)23$7,433$124
Exam of the internal drainage system of eye122$3,336$27
Exam of visual field with extended testing18$1,729$66
New patient problem focused exam of visual system18$1,466$81
Imaging of optic nerve20$783$37

2020: 5 services

Original Medicare services billed in 2020
Established patient complete exam of visual system1,614$234,643$121
New patient complete exam of visual system588$85,878$146
Established patient problem focused exam of visual system70$7,148$88
Exam of the internal drainage system of eye83$2,265$27
Exam of visual field with extended testing15$1,370$65

2019: 6 services

Original Medicare services billed in 2019
Established patient complete exam of visual system2,801$484,138$118
New patient complete exam of visual system1,252$172,646$138
Established patient problem focused exam of visual system122$15,037$84
Exam of visual field with extended testing15$1,614$65
Exam of the internal drainage system of eye49$1,228$25
Imaging of optic nerve12$542$36

2018: 7 services

Original Medicare services billed in 2018
Established patient complete exam of visual system2,817$432,340$108
New patient complete exam of visual system1,256$160,965$128
Established patient problem focused exam of visual system379$33,553$76
Exam of the internal drainage system of eye217$4,962$23
New patient problem focused exam of visual system37$2,598$70
New patient visit (45+ min)12$1,723$144
Exam of visual field with extended testing18$1,581$63

2017: 7 services

Original Medicare services billed in 2017
Established patient complete exam of visual system2,426$356,629$109
New patient complete exam of visual system1,086$141,526$130
Established patient problem focused exam of visual system798$71,374$76
Exam of the internal drainage system of eye505$11,814$23
New patient problem focused exam of visual system104$7,478$72
New patient visit (45+ min)11$1,672$152
Exam of visual field with extended testing14$1,233$65

2016: 6 services

Original Medicare services billed in 2016
Established patient complete exam of visual system2,332$366,057$112
New patient complete exam of visual system1,189$161,205$136
Established patient problem focused exam of visual system655$60,317$80
New patient problem focused exam of visual system93$6,872$74
Exam of the internal drainage system of eye253$6,214$24
Exam of visual field with extended testing15$1,221$64

2015: 6 services

Original Medicare services billed in 2015
Established patient complete exam of visual system2,389$372,517$112
New patient complete exam of visual system1,111$150,267$135
Established patient problem focused exam of visual system547$48,497$78
Exam of the internal drainage system of eye320$7,782$24
New patient problem focused exam of visual system58$4,272$74
New patient visit (45+ min)16$2,322$145

2014: 5 services

Original Medicare services billed in 2014
Established patient complete exam of visual system2,306$357,614$111
New patient complete exam of visual system1,147$152,587$133
Established patient problem focused exam of visual system802$69,721$77
Exam of the internal drainage system of eye496$12,233$25
New patient problem focused exam of visual system106$7,766$73

2013: 5 services

Original Medicare services billed in 2013
Established patient complete exam of visual system2,015$304,847$113
New patient complete exam of visual system1,004$132,545$132
Established patient problem focused exam of visual system849$82,215$78
Exam of the internal drainage system of eye619$14,992$24
New patient problem focused exam of visual system99$7,418$75

Medicaid work

$2,682 in 2022

Medicaid paid $2,682 for 625 billed services this clinician did in 2022, up to 102 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 2022
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST129$2,471
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient23$211
TOBACCO NON-USER145$0
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)102$0
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)31$0
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST13$0
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications102$0
Bp scrn perf rec interval13$0
Patient not eligible due to active diagnosis of hypertension54$0
Mac exam perf13$0
Medicaid work by year
202262510102$2,682
20213,90412154$10,522
20203,50113221$9,495
20192,0875133$22,966
20181,5985148$17,703
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES147$5,821
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST760$2,877
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST246$1,587
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient45$175
GONIOSCOPY14$62
TOBACCO NON-USER920$0
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)571$0
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)219$0
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications571$0
Bp scrn perf rec interval47$0
Patient not eligible due to active diagnosis of hypertension351$0
Mac exam perf13$0

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES145$5,479
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST831$2,815
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST198$1,201
TOBACCO NON-USER834$0
Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)356$0
OPTIC NERVE HEAD EVALUATION PERFORMED55$0
Counseling about the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of age-related macular degeneration (AMD) provided to patient and/or caregiver(s) (EC)16$0
Dil retinal eye exam93$0
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications356$0
Pain assessment using a standardized tool is documented as negative, no follow-up plan required354$0
Bp scrn perf rec interval15$0
Patient not eligible due to active diagnosis of hypertension232$0

2019

Largest Medicaid services in 2019
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES381$14,521
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST1,010$6,984
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST265$1,430
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)82$30
TOBACCO NON-USER349$0

2018

Largest Medicaid services in 2018
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES352$13,464
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST805$3,154
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST224$855
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient31$200
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)186$30

Drugs they prescribed that Part D paid

$59,538

Pharmacies billed $59,538 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 420) in 2024. At or below the middle of the specialty; the typical ophthalmology clinician is at 0%.

225 generic and 195 brand-name prescriptions · $59,538 in drug cost.

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
Rhopressa29$13,419$463
Restasis14$10,556$754
Lumigan22$9,455$430
Bimatoprost23$1,762$77
Acetazolamide Er17$940$55
See all 12 drugs
Every Part D drug this clinician prescribed
Rhopressa29$13,419$463
Restasis14$10,556$754
Lumigan22$9,455$430
Bimatoprost23$1,762$77
Acetazolamide Er17$940$55
Dorzolamide-Timolol28$758$27
Latanoprost96$711$7
Prednisolone Acetate13$612$47
Dorzolamide34$549$16
Neomycin-Polymyxin-Dexameth13$156$12
Brimonidine17$155$9
Timolol Maleate34$149$4

Year by year

Part D prescribing by year
2024420730% (0)46%$59,538
2023253430% (0)47%$54,523
2022315470% (0)38%$50,449
2021374710% (0)34%$38,099
2020580900% (0)24%$33,005
20197711440% (0)17%$27,897
20187111150% (0)40%$42,541
2017564800% (0)27%$36,382
2016348510% (0)30%$24,213
2015266370% (0)43%$18,495
2014175270% (0)66%$14,824
2013188370% (0)44%$12,347

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

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Restasis17$13,854$815
Lumigan29$12,104$417
Brimonidine Tartrate-Timolol18$3,717$207
Latanoprost45$907$20
Bimatoprost11$896$81
Dorzolamide12$431$36
Acetazolamide Er15$395$26
Dorzolamide-Timolol13$352$27
Brimonidine14$57$4

2022: 11 drugs

Part D drugs prescribed in 2022
Restasis23$16,168$703
Lumigan19$9,590$505
Combigan14$6,100$436
Rocklatan15$5,319$355
Dorzolamide44$2,054$47
Latanoprost70$1,467$21
Dorzolamide-Timolol12$521$43
Acetazolamide Er14$506$36
Brimonidine19$199$10
Neomycin-Polymyxin-Dexameth11$116$11
Timolol Maleate16$75$5

2021: 7 drugs

Part D drugs prescribed in 2021
Restasis19$11,124$585
Lumigan17$8,515$501
Rhopressa18$4,813$267
Latanoprost148$3,239$22
Dorzolamide57$2,681$47
Dorzolamide-Timolol20$696$35
Brimonidine29$306$11

2020: 7 drugs

Part D drugs prescribed in 2020
Restasis17$8,466$498
Lumigan20$7,590$379
Latanoprost295$5,609$19
Dorzolamide115$4,170$36
Dorzolamide-Timolol17$888$52
Brimonidine59$713$12
Nystop13$624$48

2019: 6 drugs

Part D drugs prescribed in 2019
Latanoprost432$7,185$17
Lumigan14$6,254$447
Dorzolamide136$5,064$37
Brimonidine101$1,836$18
Dorzolamide-Timolol29$1,654$57
Neomycin-Polymyxin-Dexameth13$227$17

2018: 7 drugs

Part D drugs prescribed in 2018
Travatan Z32$8,398$262
Latanoprost425$7,765$18
Lumigan30$7,280$243
Cosopt Pf12$3,458$288
Brimonidine89$2,863$32
Dorzolamide52$1,670$32
Dorzolamide-Timolol23$644$28

2017: 8 drugs

Part D drugs prescribed in 2017
Travatan Z50$11,286$226
Xiidra14$5,131$367
Latanoprost279$4,975$18
Lumigan26$4,277$165
Dorzolamide79$3,031$38
Dorzolamide-Timolol35$1,142$33
Brimonidine29$542$19
Timolol Maleate13$187$14

2016: 6 drugs

Part D drugs prescribed in 2016
Travatan Z55$10,529$191
Lumigan13$2,533$195
Latanoprost135$2,095$16
Dorzolamide50$1,973$39
Brimonidine34$821$24
Dorzolamide-Timolol18$494$27

2015: 5 drugs

Part D drugs prescribed in 2015
Travatan Z79$11,659$148
Latanoprost82$1,126$14
Dorzolamide25$542$22
Dorzolamide-Timolol19$412$22
Brimonidine24$320$13

2014: 4 drugs

Part D drugs prescribed in 2014
Travatan Z85$10,536$124
Lumigan14$2,020$144
Brimonidine33$450$14
Latanoprost14$244$17

2013: 3 drugs

Part D drugs prescribed in 2013
Travatan Z81$10,082$124
Brimonidine60$989$16
Latanoprost14$269$19

Money from drug and device companies

$20 in 2025

Industry payments by year
202511$20$20
202011None$19
201911None$103

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
CooperVisionMisight Contact Lens$20
1 payment
  • Consulting for Misight Contact Lens · 2025-12-19 · $20
See the published payment
Every published payment
CooperVisionConsulting · 2025-12-19Misight Contact Lens$20
See earlier years (2020, 2019)

2020: $19

Payments by company in 2020
Carl Zeiss Meditec AGNone Specified$19
1 payment
  • Gift for None Specified · 2020-04-03 · $19

2019: $103

Payments by company in 2019
Johnson & Johnson Surgical VisionCatalys Laser System$103
1 payment
  • Meals for Catalys Laser System · 2019-10-13 · $103

Professional record

NPI
1497834147
Licence
CA A87178California A87178: Current · expires 2028-04-30
Trained
University of California, San Diego School of Medicine, 2000
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A871780
Taxonomy
Federal specialty code 207W00000X (207W00000X)
Mailing address
706 N Genevieve Ln, San Jose, CA, 95128
NPI first listed
2006-11-03
NPI last updated
2016-05-20

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