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

Lai, Daniel

Lai, Daniel was paid $138K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoLAI, DANIEL
OLEAN, NY 14760
33aNPI1164485280assigned 04/10/2006
33bProvider typeOtolaryngology Physician
28Total paid$138K
24GClaims5,002
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#69 of 302
Median peer was paid$10K
This provider vs. median14×

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$5.0K$10K2018201920202021202220232024
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
2018289$3K
2019299$4K
202092$2K
2021812$25K
20221,170$35K
20231,443$47K
2024incomplete897$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 40% 1,508 1,445 $55K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 1,675 1,594 $48K
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 9.4% 180 180 $13K
92557 7.2% 416 415 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.8% 106 105 $5K
92550 3.0% 333 331 $4K
92567 1.7% 186 181 $2K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 82 82 $205.53
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 374 363 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 66 66 $0.00
1036F 0% 76 76 $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.