Lai, Michelle

Lai, Michelle was paid $12K by Medicaid between Jul 2018 and Mar 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoLAI, MICHELLE
BOSTON, MA 02215

33aNPI1609030865assigned 07/16/2008

33bProvider typeHepatology Physician

28Total paid$12K

24GClaims178

24DCodes billed2

24AFirst – last monthJul 2018 – Mar 2023

Compared with peers

Next to other Hepatology Physician providers in Massachusetts

Rank by total paid#5 of 8

Median peer was paid$12K

This provider vs. median1.0×

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	12	$704.66
2019	81	$5K
2020	13	$759.46
2021	29	$2K
2022	28	$2K
2023	15	$1K

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	75%	136	136	$9K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	25%	42	14	$3K

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.