Clinic
Waiho Lum MD PLLC
Waiho Lum MD PLLC was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 44% of everything it billed.
33Billing provider infoWAIHO LUM MD PLLC
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
33aNPI1447455589assigned 06/19/2007
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.17M
24GClaims20,186
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#50 of 138
Median peer was paid$576K
This provider vs. median2.0×
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 | 304 | $13K | |
| 2019 | 318 | $15K | |
| 2020 | 1,440 | $67K | |
| 2021 | 1,951 | $92K | |
| 2022 | 1,535 | $90K | |
| 2023 | 5,607 | $330K | |
| 2024incomplete | 9,031 | $563K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 44% | 6,934 | 6,907 | $516K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 5,875 | 4,998 | $472K |
| 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 | 4.0% | 447 | 444 | $47K |
| S9083 | Global fee urgent care centers | 2.7% | 484 | 445 | $32K |
| 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 | 2.6% | 338 | 313 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.2% | 413 | 413 | $26K |
| 87070 | 1.2% | 544 | 499 | $14K | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 739 | 675 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 285 | 279 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,442 | 1,356 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 259 | 248 | $4K |
| 87184 | <1% | 455 | 416 | $3K |
6 more codes
| 99050 | <1% | 220 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $1K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 1,334 | $925.74 |
| 92587 | <1% | 12 | $505.10 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 20 | $328.60 |
| 94760 | <1% | 366 | $6.37 |
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.
From NPPES
Who's on the registration
Authorized officialLUM, WAIHO (MANAGER)