James Li MD PLLC
James Li MD PLLC was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 31231, — 47% of everything it billed.
33Billing provider infoJAMES LI MD PLLC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1740322148assigned 02/13/2007
33bProvider typeSpecialist
28Total paid$2.26M
24GClaims16,881
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#82 of 1,221
Median peer was paid$45K
This provider vs. median50×
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 | 3,417 | $456K | |
| 2019 | 3,262 | $446K | |
| 2020 | 1,393 | $185K | |
| 2021 | 2,262 | $307K | |
| 2022 | 2,150 | $298K | |
| 2023 | 2,451 | $318K | |
| 2024incomplete | 1,946 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 47% | 5,103 | 4,956 | $1.06M | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 5,059 | 5,059 | $595K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,804 | 4,601 | $420K |
| 31575 | 4.3% | 773 | 751 | $97K | |
| 69105 | 2.9% | 436 | 410 | $66K | |
| 69210 | <1% | 270 | 269 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | 142 | $7K |
| 92504 | <1% | 168 | 168 | $5K | |
| 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 | <1% | 19 | 19 | $3K |
| 92557 | <1% | 15 | 14 | $512.68 | |
| 92550 | <1% | 14 | 13 | $272.02 | |
| 99072 | <1% | 40 | 36 | $252.00 |
1 more codes
| 99051 | <1% | 38 | $170.10 |
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.
From NPPES
Who's on the registration
Authorized officialLI, CHUN-LUN (MD)