Physician
Cai, Lu
Cai, Lu was paid $1.68M by Medicaid between Jan 2018 and Sep 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCAI, LU
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1639449069assigned 01/02/2012
33bProvider typeInternal Medicine Physician
28Total paid$1.68M
24GClaims39,001
24DCodes billed29
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#164 of 6,049
Median peer was paid$11K
This provider vs. median149×
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 | 5,623 | $240K | |
| 2019 | 6,959 | $302K | |
| 2020 | 4,340 | $193K | |
| 2021 | 5,996 | $290K | |
| 2022 | 5,904 | $259K | |
| 2023 | 6,491 | $261K | |
| 2024incomplete | 3,688 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 12,916 | 10,783 | $765K |
| 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 | 18% | 3,085 | 3,079 | $306K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12% | 1,514 | 1,511 | $196K |
| 99442 | 6.4% | 1,418 | 1,323 | $108K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 368 | 367 | $45K |
| 99441 | 2.6% | 866 | 838 | $43K | |
| 93000 | 2.5% | 3,837 | 3,810 | $41K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 953 | 902 | $37K |
| 90756 | 1.7% | 1,667 | 1,665 | $28K | |
| 94010 | 1.6% | 948 | 943 | $27K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,870 | 1,847 | $23K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.1% | 1,387 | 1,387 | $19K |
17 more codes
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,117 | $15K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 930 | $13K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 211 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $3K |
| 36410 | <1% | 710 | $3K | |
| 99397 | <1% | 81 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,620 | $1K |
| 90688 | <1% | 52 | $743.21 | |
| 96116 | <1% | 13 | $260.64 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 14 | $84.30 |
| 99072 | <1% | 18 | $12.50 | |
| 1159F | 0% | 63 | $0.00 | |
| 1158F | 0% | 63 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 511 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 602 | $0.00 |
| 1170F | 0% | 63 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 79 | $0.00 |
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.