Physician
Victor Li MD a Professional Medical
Victor Li MD a Professional Medical was paid $2.14M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoVICTOR LI MD A PROFESSIONAL MEDICAL
CAPITOLA, CA 95010
CAPITOLA, CA 95010
33aNPI1538227897assigned 12/05/2006
33bProvider typeAddiction Medicine (Anesthesiology) Physician
28Total paid$2.14M
24GClaims31,282
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Anesthesiology) Physician providers in California
Rank by total paid#1 of 7
Median peer was paid$257K
This provider vs. median8.3×
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 | 4,905 | $292K | |
| 2019 | 3,783 | $262K | |
| 2020 | 3,293 | $235K | |
| 2021 | 5,469 | $372K | |
| 2022 | 5,000 | $350K | |
| 2023 | 4,919 | $332K | |
| 2024incomplete | 3,913 | $301K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 9,704 | 9,118 | $865K |
| 99205 | Prolong outpt/office vis | 11% | 1,480 | 1,480 | $234K |
| 99152 | 6.4% | 5,589 | 4,962 | $137K | |
| 64493 | 6.3% | 2,198 | 1,280 | $136K | |
| 64635 | 5.4% | 881 | 536 | $116K | |
| 64490 | 5.1% | 1,488 | 825 | $110K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 688 | 678 | $83K |
| 64494 | 3.5% | 2,192 | 1,277 | $75K | |
| 64633 | 2.8% | 440 | 258 | $61K | |
| 64491 | 2.8% | 1,488 | 827 | $61K | |
| 64634 | 1.9% | 755 | 258 | $40K | |
| 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 | 1.7% | 234 | 234 | $36K |
15 more codes
| 64636 | 1.6% | 881 | $35K | |
| 27096 | 1.5% | 646 | $33K | |
| 64483 | 1.4% | 355 | $30K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 338 | $17K |
| 20552 | <1% | 376 | $16K | |
| 62321 | <1% | 90 | $15K | |
| 64484 | <1% | 353 | $14K | |
| 64492 | <1% | 189 | $9K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 297 | $9K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 410 | $7K |
| 62323 | <1% | 44 | $5K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 95 | $1K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 18 | $228.47 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 38 | $86.92 |
| 80305 | <1% | 15 | $56.86 |
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, VICTOR (MD)