Physician
Edward M. Lai., a Medical Corporation
Edward M. Lai., a Medical Corporation was paid $108K by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 66% of everything it billed.
33Billing provider infoEDWARD M. LAI., A MEDICAL CORPORATION
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
33aNPI1972597672assigned 09/08/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$108K
24GClaims25,928
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in California
Rank by total paid#93 of 222
Median peer was paid$42K
This provider vs. median2.5×
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 | 5,393 | $20K | |
| 2019 | 4,394 | $26K | |
| 2020 | 3,266 | $12K | |
| 2021 | 6,499 | $17K | |
| 2022 | 2,571 | $15K | |
| 2023 | 2,510 | $14K | |
| 2024incomplete | 1,295 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 66% | 3,254 | 3,034 | $71K |
| 88304 | 9.4% | 673 | 657 | $10K | |
| 80053 | Comprehensive metabolic panel | 5.3% | 3,784 | 2,471 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 5,141 | 2,918 | $6K |
| 84484 | 1.7% | 1,305 | 1,091 | $2K | |
| 85730 | 1.7% | 2,124 | 1,632 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 1,266 | 558 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 56 | 53 | $1K |
| 83690 | 1.1% | 1,234 | 1,056 | $1K | |
| 87040 | <1% | 339 | 256 | $930.41 | |
| 85610 | <1% | 1,641 | 1,239 | $919.92 | |
| 88312 | <1% | 162 | 161 | $912.48 |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 309 | $786.41 |
| 83880 | <1% | 143 | $707.58 | |
| 81000 | <1% | 1,624 | $670.13 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 608 | $658.76 |
| 82948 | <1% | 643 | $474.52 | |
| 83605 | <1% | 261 | $398.59 | |
| 88104 | <1% | 13 | $338.73 | |
| 83735 | <1% | 333 | $338.49 | |
| 82150 | <1% | 348 | $309.83 | |
| 81002 | <1% | 419 | $146.63 | |
| 80076 | <1% | 142 | $117.27 | |
| 85379 | <1% | 62 | $97.18 | |
| 86901 | <1% | 27 | $10.38 | |
| 83615 | <1% | 17 | $9.50 |
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, EDWARD (PRESIDENT)