Michael K. Lai, M.D., INC

Michael K. Lai, M.D., INC was paid $99K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 50% of everything it billed.

33Billing provider infoMICHAEL K. LAI, M.D., INC
SANTA MARIA, CA 93454

33aNPI1760534903assigned 01/17/2007

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$99K

24GClaims1,673

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in California

Rank by total paid#44 of 158

Median peer was paid$17K

This provider vs. median5.8×

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	829	$93K
2019	14	$326.03
2021	488	$5K
2022	206	$778.57
2023	86	$187.50
2024incomplete	50	$118.31

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	50%	534	522	$50K
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	30%	626	586	$29K
99354		16%	108	103	$16K
99454		3.8%	244	228	$4K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	40	40	$764.49
99453		<1%	18	18	$132.03
99458		<1%	47	47	$100.76
99457		<1%	56	56	$72.65

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 officialLAI, VICTORIA (PRACTICE MANAGER)