Lai, Edward

Lai, Edward was paid $20K by Medicaid between Jan 2018 and Jan 2024, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 98% of everything it billed.

33Billing provider infoLAI, EDWARD
NEW YORK, NY 10021

33aNPI1255481701assigned 01/10/2007

33bProvider typeCornea and External Diseases Specialist Physician

28Total paid$20K

24GClaims337

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Cornea and External Diseases Specialist Physician providers in New York

Rank by total paid#8 of 15

Median peer was paid$20K

This provider vs. median1.0×

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	67	$4K
2019	68	$4K
2020	41	$2K
2021	53	$3K
2022	43	$2K
2023	53	$3K
2024incomplete	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	98%	325	325	$19K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.1%	12	12	$421.70

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.