Lai, Monica
Lai, Monica was paid $16K by Medicaid between May 2019 and Aug 2020, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.
33Billing provider infoLAI, MONICA
NORTH OLMSTED, OH 44070
NORTH OLMSTED, OH 44070
33aNPI1598210486assigned 08/20/2016
33bProvider typeOptometrist
28Total paid$16K
24GClaims432
24DCodes billed4
24AFirst – last monthMay 2019 – Aug 2020
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#728 of 1,098
Median peer was paid$41K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 279 | $12K | |
| 2020 | 153 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 53% | 173 | 172 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 145 | 145 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.5% | 25 | 25 | $858.25 |
| 92015 | Determination of refractive state | <1% | 89 | 89 | $60.00 |
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.