Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lai, Nicky

Lai, Nicky was paid $25K by Medicaid between Nov 2020 and Apr 2024, across 6 billing codes. Its largest line is 92310, — 56% of everything it billed.

33Billing provider infoLAI, NICKY
COLUMBUS, OH 43210
33aNPI1982687786assigned 11/25/2005
33bProvider typeOptometrist
28Total paid$25K
24GClaims993
24DCodes billed6
24AFirst – last monthNov 2020 – Apr 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#642 of 1,098
Median peer was paid$41K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202029$0.00
2021181$902.16
2022566$16K
2023131$3K
2024incomplete86$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92310 56% 259 241 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 74 65 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 90 87 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 63 56 $3K
92133 1.1% 12 12 $275.28
92015 Determination of refractive state 0% 495 481 $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.