Michael Li MD PLLC
Michael Li MD PLLC was paid $13.84M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.
33Billing provider infoMICHAEL LI MD PLLC
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1508891508assigned 07/11/2006
33bProvider typeSpecialist
28Total paid$13.84M
24GClaims87,069
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#9 of 1,221
Median peer was paid$45K
This provider vs. median306×
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 | 11,507 | $1.49M | |
| 2019 | 12,423 | $1.76M | |
| 2020 | 9,691 | $1.43M | |
| 2021 | 14,256 | $2.52M | |
| 2022 | 14,152 | $2.54M | |
| 2023 | 13,539 | $2.38M | |
| 2024incomplete | 11,501 | $1.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 12,614 | 12,588 | $4.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 37,218 | 32,704 | $3.30M |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 3,441 | 3,438 | $1.62M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 4,266 | 4,265 | $1.53M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 10,390 | 10,379 | $1.24M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.5% | 1,703 | 1,699 | $626K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.2% | 5,900 | 4,376 | $306K |
| 99243 | <1% | 951 | 944 | $108K | |
| 88312 | <1% | 4,235 | 3,591 | $101K | |
| 99442 | <1% | 988 | 967 | $94K | |
| 88313 | <1% | 4,230 | 3,589 | $76K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 152 | 142 | $7K |
5 more codes
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 officialLI, MICHAEL (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Flushing Medical Services PLLC | Flushing, NY | $2.36M |
| Honest Medical Solutions, LLC | Winchester, VA | $117K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.