Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › La Mirada › NPI 1699066795
Physician

Li, Edward

Li, Edward was paid $113K by Medicaid between Jan 2018 and Sep 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoLI, EDWARD
LA MIRADA, CA 90638
33aNPI1699066795assigned 04/22/2011
28Total paid$113K
24GClaims3,277
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in California

Rank by total paid#37 of 166
Median peer was paid$16K
This provider vs. median7.0×

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

$0$5.0K$10K2018201920202021202220232024
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
2018518$32K
2019219$4K
20201,068$33K
20211,472$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 673 637 $30K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23% 328 328 $26K
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 23% 457 432 $26K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 254 254 $14K
20610 7.2% 837 385 $8K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 6.3% 524 209 $7K
80305 <1% 130 128 $922.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 74 70 $47.21

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.