Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lai, Chia Chi

Lai, Chia Chi was paid $821K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 30% of everything it billed.

33Billing provider infoLAI, CHIA CHI
MONTEREY PARK, CA 91754
33aNPI1043238413assigned 07/17/2006
28Total paid$821K
24GClaims14,030
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#59 of 363
Median peer was paid$55K
This provider vs. median15×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,286$118K
20191,939$152K
20202,562$170K
20212,308$162K
20221,711$88K
20232,011$88K
2024incomplete1,213$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45380 Colonoscopy, flexible; with biopsy, single or multiple 30% 1,532 1,530 $247K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 29% 7,037 1,669 $239K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 19% 1,560 1,552 $155K
99222 Initial hospital care, per day, moderate complexity 13% 1,462 1,435 $105K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.6% 1,313 1,312 $54K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 988 955 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 138 64 $4K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.