Clinic
Elson Lai, MD, a Professional Corporation
Elson Lai, MD, a Professional Corporation was paid $44K by Medicaid between Mar 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoELSON LAI, MD, A PROFESSIONAL CORPORATION
ROSEMEAD, CA 91770
ROSEMEAD, CA 91770
33aNPI1053741280assigned 11/25/2013
33bProvider typeOphthalmologic Surgery Clinic/Center
28Total paid$44K
24GClaims3,924
24DCodes billed10
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Ophthalmologic Surgery Clinic/Center providers in California
Rank by total paid#17 of 23
Median peer was paid$113K
This provider vs. median0.4×
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 | 250 | $8K | |
| 2019 | 271 | $8K | |
| 2020 | 24 | $49.28 | |
| 2021 | 129 | $359.16 | |
| 2022 | 766 | $3K | |
| 2023 | 1,260 | $5K | |
| 2024incomplete | 1,224 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 36% | 1,740 | 1,740 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 1,014 | 969 | $12K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 18% | 13 | 13 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 624 | 624 | $5K |
| 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 | 3.7% | 112 | 112 | $2K |
| 76519 | 1.8% | 66 | 66 | $811.36 | |
| 92134 | <1% | 12 | 12 | $161.25 | |
| 92025 | 0% | 26 | 26 | $0.00 | |
| 92133 | 0% | 15 | 15 | $0.00 | |
| 99024 | 0% | 302 | 235 | $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.
From NPPES
Who's on the registration
Authorized officialLAI, ELSON (PRESIDENT)