Physician
Lai, Kevin
Lai, Kevin was paid $320K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 31% of everything it billed.
33Billing provider infoLAI, KEVIN
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1457614968assigned 06/19/2012
33bProvider typeOphthalmology Physician
28Total paid$320K
24GClaims28,642
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#223 of 1,085
Median peer was paid$34K
This provider vs. median9.5×
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 | 331 | $7K | |
| 2019 | 2,707 | $38K | |
| 2020 | 811 | $15K | |
| 2021 | 741 | $4K | |
| 2022 | 6,964 | $47K | |
| 2023 | 12,358 | $115K | |
| 2024incomplete | 4,730 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 31% | 3,522 | 3,444 | $100K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 1,567 | 1,557 | $61K |
| 92134 | 8.4% | 2,331 | 2,316 | $27K | |
| 92250 | 7.6% | 1,899 | 1,886 | $24K | |
| 66761 | 6.5% | 284 | 256 | $21K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 6.0% | 172 | 171 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.7% | 322 | 318 | $15K |
| 92083 | 4.6% | 844 | 831 | $15K | |
| 92201 | 4.5% | 2,237 | 2,226 | $14K | |
| 92020 | 2.0% | 1,019 | 1,013 | $6K | |
| 92133 | 1.7% | 666 | 654 | $5K | |
| 92226 | 1.1% | 207 | 122 | $4K |
13 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 104 | $2K |
| 92136 | <1% | 283 | $1K | |
| 92225 | <1% | 54 | $1K | |
| 92002 | <1% | 40 | $642.37 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,253 | $0.00 |
| 0517F | 0% | 878 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,379 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 404 | $0.00 |
| 99072 | 0% | 56 | $0.00 | |
| 4177F | 0% | 912 | $0.00 | |
| 1036F | 0% | 3,135 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,040 | $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.