Li, Michael
Li, Michael was paid $481K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoLI, MICHAEL
TEMECULA, CA 92592
TEMECULA, CA 92592
33aNPI1689777138assigned 09/07/2006
33bProvider typeOptometrist
28Total paid$481K
24GClaims16,315
24DCodes billed11
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#150 of 1,899
Median peer was paid$23K
This provider vs. median21×
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 | 1,950 | $42K | |
| 2019 | 2,867 | $76K | |
| 2020 | 1,931 | $60K | |
| 2021 | 2,788 | $85K | |
| 2022 | 2,249 | $71K | |
| 2023 | 2,478 | $79K | |
| 2024incomplete | 2,052 | $68K |
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 | 36% | 4,677 | 4,640 | $171K |
| 92250 | 26% | 3,210 | 3,180 | $127K | |
| 68761 | 15% | 794 | 786 | $72K | |
| 92083 | 11% | 2,200 | 2,188 | $53K | |
| 92015 | Determination of refractive state | 7.9% | 4,860 | 4,796 | $38K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.5% | 325 | 321 | $12K |
| 92225 | 1.4% | 160 | 158 | $7K | |
| 92201 | <1% | 18 | 18 | $860.62 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | <1% | 38 | 38 | $457.38 |
| 92283 | <1% | 21 | 21 | $351.23 | |
| 2023F | 0% | 12 | 12 | $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.