Physician
Lai, James
Lai, James was paid $68K by Medicaid between Dec 2021 and Nov 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 51% of everything it billed.
33Billing provider infoLAI, JAMES
HOUSTON, TX 77025
HOUSTON, TX 77025
33aNPI1699760447assigned 09/19/2005
28Total paid$68K
24GClaims1,536
24DCodes billed4
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in Texas
Rank by total paid#4 of 8
Median peer was paid$30K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2021 | 49 | $1K | |
| 2022 | 539 | $26K | |
| 2023 | 608 | $27K | |
| 2024incomplete | 340 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 51% | 344 | 310 | $35K |
| 92060 | 23% | 303 | 281 | $16K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 85 | 78 | $10K |
| 92015 | Determination of refractive state | 11% | 804 | 714 | $8K |
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.