Physician
Connie J Li MD a Professional Corporation
Connie J Li MD a Professional Corporation was paid $108K by Medicaid between Jan 2018 and Oct 2023, across 26 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 44% of everything it billed.
33Billing provider infoCONNIE J LI MD A PROFESSIONAL CORPORATION
DIAMOND BAR, CA 91765
DIAMOND BAR, CA 91765
33aNPI1174064091assigned 03/10/2017
33bProvider typePediatrics Physician
28Total paid$108K
24GClaims8,134
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#475 of 1,490
Median peer was paid$15K
This provider vs. median7.2×
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 | 2,826 | $27K | |
| 2019 | 2,305 | $37K | |
| 2020 | 1,928 | $33K | |
| 2021 | 421 | $6K | |
| 2022 | 250 | $3K | |
| 2023 | 404 | $2K |
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) | 44% | 1,272 | 1,260 | $48K |
| 99381 | 12% | 155 | 154 | $13K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 337 | 289 | $8K |
| 90670 | 4.9% | 1,167 | 1,165 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.7% | 190 | 190 | $5K |
| 90698 | 4.4% | 1,107 | 1,105 | $5K | |
| 90680 | 4.3% | 1,091 | 1,089 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 213 | 211 | $4K |
| 90744 | 3.2% | 696 | 695 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 39 | 39 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.7% | 96 | 75 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 313 | 281 | $2K |
14 more codes
| 90461 | 1.5% | 166 | $2K | |
| 90685 | 1.2% | 180 | $1K | |
| 90686 | <1% | 197 | $1K | |
| 90473 | <1% | 111 | $770.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $638.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 518 | $355.50 |
| 92551 | <1% | 58 | $331.70 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 39 | $99.00 |
| 90633 | <1% | 28 | $46.00 | |
| 90716 | <1% | 13 | $19.00 | |
| 90707 | <1% | 13 | $19.00 | |
| 97802 | <1% | 41 | $0.01 | |
| 3008F | 0% | 40 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 40 | $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 officialLI, CONNIE (PRESIDENT / CEO)