Physician
Li, Joan
Li, Joan was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoLI, JOAN
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1952389355assigned 01/05/2006
33bProvider typeOphthalmology Physician
28Total paid$1.35M
24GClaims19,057
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#85 of 1,085
Median peer was paid$34K
This provider vs. median40×
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 | 2,857 | $217K | |
| 2019 | 2,694 | $199K | |
| 2020 | 2,808 | $211K | |
| 2021 | 3,010 | $208K | |
| 2022 | 3,025 | $212K | |
| 2023 | 2,735 | $178K | |
| 2024incomplete | 1,928 | $127K |
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 | 30% | 3,475 | 3,466 | $407K |
| 92250 | 15% | 4,423 | 4,374 | $209K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,727 | 1,693 | $166K |
| 92020 | 9.7% | 4,894 | 4,884 | $131K | |
| 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 | 9.5% | 983 | 982 | $128K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.3% | 1,151 | 1,122 | $99K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.2% | 663 | 663 | $98K |
| 92015 | Determination of refractive state | 3.5% | 837 | 837 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 294 | 294 | $36K |
| 92083 | 2.0% | 424 | 424 | $27K | |
| 92133 | <1% | 110 | 108 | $4K | |
| 99072 | 0% | 76 | 76 | $0.00 |
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.