Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Li, Jianjun

Li, Jianjun was paid $2.28M by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoLI, JIANJUN
BROOKLYN, NY 11220
33aNPI1437171683assigned 07/24/2006
28Total paid$2.28M
24GClaims64,036
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#28 of 656
Median peer was paid$12K
This provider vs. median188×

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$100K$200K2018201920202021202220232024
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
20184,701$457K
201912,534$1.04M
20205,644$344K
202112,117$167K
20226,784$87K
202312,952$87K
2024incomplete9,304$107K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 18,578 17,144 $730K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26% 2,931 2,923 $601K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13% 1,239 1,218 $307K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.6% 2,945 2,942 $196K
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 8.3% 5,498 5,182 $191K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.3% 1,525 1,525 $76K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.8% 283 282 $65K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 2.5% 213 213 $57K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.3% 135 135 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 953 800 $23K
99051 <1% 4,307 4,118 $8K
43259 <1% 12 12 $2K
22 more codes
81025 <1% 33 $253.43
99072 <1% 350 $72.00
G8752 Most recent systolic blood pressure < 140 mmhg <1% 1,447 $37.00
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 1,721 $36.00
3008F <1% 4,235 $3.00
2000F <1% 4,042 $1.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given <1% 923 $1.00
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 340 $1.00
1000F 0% 64 $0.00
3074F 0% 2,825 $0.00
3075F 0% 694 $0.00
3017F 0% 1,673 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,856 $0.00
3079F 0% 907 $0.00
1036F 0% 58 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 58 $0.00
3080F 0% 27 $0.00
3078F 0% 3,075 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 57 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 0% 371 $0.00
3077F 0% 591 $0.00
1159F 0% 70 $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.