Physician
Cai, Steven
Cai, Steven was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 76641, — 46% of everything it billed.
33Billing provider infoCAI, STEVEN
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1053468868assigned 01/04/2007
33bProvider typeSurgery Physician
28Total paid$1.04M
24GClaims19,644
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in New York
Rank by total paid#8 of 396
Median peer was paid$4K
This provider vs. median241×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 713 | $81K | |
| 2019 | 1,165 | $147K | |
| 2020 | 2,016 | $257K | |
| 2021 | 3,246 | $378K | |
| 2022 | 3,363 | $118K | |
| 2023 | 4,621 | $28K | |
| 2024incomplete | 4,520 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76641 | 46% | 5,097 | 3,834 | $475K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 3,452 | 3,374 | $232K |
| 19083 | 19% | 350 | 283 | $198K | |
| 76642 | 3.4% | 433 | 387 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 775 | 751 | $32K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.7% | 236 | 236 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 177 | 177 | $19K |
| 93702 | 1.3% | 354 | 351 | $14K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 40 | 40 | $6K |
| 76882 | <1% | 53 | 51 | $2K | |
| 99401 | <1% | 111 | 109 | $677.51 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 542 | 487 | $199.25 |
16 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 743 | $196.25 |
| 81025 | <1% | 17 | $102.74 | |
| 3078F | <1% | 1,231 | $85.60 | |
| 3074F | <1% | 936 | $26.00 | |
| 3008F | <1% | 1,356 | $15.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 55 | $11.00 |
| 3075F | 0% | 101 | $0.00 | |
| 3079F | 0% | 279 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 190 | $0.00 |
| 2000F | 0% | 635 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 541 | $0.00 |
| 3077F | 0% | 377 | $0.00 | |
| 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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 311 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 398 | $0.00 |
| 1159F | 0% | 494 | $0.00 | |
| 1160F | 0% | 360 | $0.00 |
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.