Physician
Lui, Karen
Lui, Karen was paid $853K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 19% of everything it billed.
33Billing provider infoLUI, KAREN
CHICAGO, IL 60612
CHICAGO, IL 60612
33aNPI1073779237assigned 08/06/2008
33bProvider typePediatrics Physician
28Total paid$853K
24GClaims19,600
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#168 of 1,805
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
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 | 1,108 | $65K | |
| 2019 | 3,306 | $181K | |
| 2020 | 3,091 | $150K | |
| 2021 | 3,465 | $120K | |
| 2022 | 3,071 | $128K | |
| 2023 | 2,854 | $106K | |
| 2024incomplete | 2,705 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 2,074 | 1,899 | $165K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,608 | 1,475 | $142K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,127 | 2,000 | $128K |
| 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 | 11% | 1,024 | 957 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 847 | 789 | $74K |
| 90686 | 4.6% | 2,663 | 2,283 | $39K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.5% | 831 | 779 | $38K |
| 99460 | 4.1% | 605 | 577 | $35K | |
| 90670 | 2.5% | 1,311 | 1,198 | $22K | |
| 96160 | 2.1% | 1,227 | 1,101 | $18K | |
| 90723 | 2.0% | 1,070 | 972 | $17K | |
| 90680 | 1.7% | 890 | 818 | $14K |
25 more codes
| 90647 | 1.6% | 953 | $14K | |
| 96127 | 1.4% | 813 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 111 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 431 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 68 | $4K |
| 90633 | <1% | 187 | $3K | |
| 90677 | <1% | 119 | $2K | |
| 91321 | <1% | 106 | $2K | |
| 90656 | <1% | 121 | $2K | |
| 0081A | <1% | 41 | $2K | |
| 0071A | <1% | 31 | $1K | |
| 0154A | <1% | 19 | $808.48 | |
| 0002A | <1% | 16 | $685.16 | |
| 83655 | <1% | 39 | $522.83 | |
| 99462 | <1% | 19 | $516.43 | |
| 0124A | <1% | 12 | $509.16 | |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $431.60 |
| 90651 | <1% | 29 | $346.03 | |
| 90681 | <1% | 16 | $269.34 | |
| 90716 | <1% | 13 | $250.60 | |
| 90707 | <1% | 13 | $250.60 | |
| 90710 | <1% | 12 | $225.60 | |
| 90700 | <1% | 12 | $164.55 | |
| 90734 | <1% | 14 | $91.42 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 115 | $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.