Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Hacienda Hts › NPI 1356375059
Physician

Li, Mark

Li, Mark was paid $271K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 55% of everything it billed.

33Billing provider infoLI, MARK
HACIENDA HTS, CA 91745
33aNPI1356375059assigned 07/10/2006
28Total paid$271K
24GClaims4,885
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#118 of 363
Median peer was paid$55K
This provider vs. median4.9×

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
20181,144$40K
20191,499$93K
20201,115$78K
2021447$26K
2022306$17K
2023184$14K
2024incomplete190$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45380 Colonoscopy, flexible; with biopsy, single or multiple 55% 885 883 $149K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 1,190 1,190 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,744 1,726 $34K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 11% 490 489 $29K
99335 4.6% 391 381 $12K
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 <1% 107 107 $2K
99348 <1% 66 66 $600.81
99347 <1% 12 12 $5.92

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.