Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lai, Mimi

Lai, Mimi was paid $15K by Medicaid between Mar 2018 and Apr 2022, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoLAI, MIMI
CHARDON, OH 44024
33aNPI1629434618assigned 01/07/2016
33bProvider typeOptometrist
28Total paid$15K
24GClaims857
24DCodes billed7
24AFirst – last monthMar 2018 – Apr 2022
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#734 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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018190$4K
2020242$4K
2021272$4K
2022153$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 97 97 $4K
V2020 Frames, purchases 20% 177 176 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 19% 113 112 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 59 58 $2K
92015 Determination of refractive state 9.9% 345 338 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 6.1% 52 51 $892.57
V2784 Lens, polycarbonate or equal, any index, per lens 1.1% 14 14 $156.00

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.