Physician
Li, Michael
Li, Michael was paid $955K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.
33Billing provider infoLI, MICHAEL
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1770547630assigned 04/17/2006
33bProvider typeGastroenterology Physician
28Total paid$955K
24GClaims19,229
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#52 of 656
Median peer was paid$12K
This provider vs. median78×
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 | 2,357 | $106K | |
| 2019 | 3,232 | $189K | |
| 2020 | 1,241 | $60K | |
| 2021 | 1,829 | $76K | |
| 2022 | 3,120 | $147K | |
| 2023 | 3,739 | $187K | |
| 2024incomplete | 3,711 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 39% | 3,665 | 3,645 | $369K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 11,680 | 10,271 | $340K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 2,771 | 2,770 | $139K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.8% | 567 | 559 | $65K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.1% | 290 | 290 | $29K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 152 | 150 | $11K |
| 99442 | <1% | 74 | 74 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 28 | $466.38 |
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.