Li, Margaret

Li, Margaret was paid $33K by Medicaid between Mar 2019 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoLI, MARGARET
UNION CITY, CA 94587

33aNPI1215025317assigned 10/11/2006

33bProvider typeRheumatology Physician

28Total paid$33K

24GClaims549

24DCodes billed3

24AFirst – last monthMar 2019 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#79 of 147

Median peer was paid$43K

This provider vs. median0.8×

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
2019	43	$3K
2020	12	$810.32
2021	84	$5K
2022	51	$3K
2023	176	$10K
2024incomplete	183	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	100%	484	462	$32K
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)	<1%	13	13	$118.80
36415	Collection of venous blood by venipuncture	<1%	52	52	$1.50

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.