Lai, Sean

Lai, Sean was paid $337K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 72% of everything it billed.

33Billing provider infoLAI, SEAN
SANTA MONICA, CA 90404

33aNPI1396739470assigned 09/06/2005

33bProvider typeSpecialist

28Total paid$337K

24GClaims12,302

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Specialist providers in California

Rank by total paid#338 of 1,230

Median peer was paid$51K

This provider vs. median6.6×

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	1,302	$28K
2019	1,496	$44K
2020	2,083	$71K
2021	1,617	$46K
2022	1,758	$43K
2023	2,126	$63K
2024incomplete	1,920	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	72%	10,675	2,088	$243K
99223	Prolong inpt eval add15 m	20%	1,297	1,278	$68K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	7.5%	303	299	$25K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	27	25	$2K

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.