MICHAEL LAI, MD
Endocrinology, Diabetes & Metabolism Physician · SANTA MARIA, CA
Individual Active NPI 1750318127
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,190 | 12,249 | $3,729,733 | $1,806,852 | $1,395,849 |
| 2023 | 1,100 | 3,476 | $1,091,541 | $563,605 | $433,686 |
| 2022 | 1,016 | 2,722 | $638,300 | $365,248 | $261,263 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 1,390 | $175 | $122 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,239 | $125 | $90 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1,008 | $38 | $30 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 958 | $47 | $36 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 592 | $33 | $24 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 551 | $61 | $47 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 490 | $48 | $38 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 338 | $50 | $39 |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 201 | $21 | $16 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 155 | $213 | $154 |
| 95250 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment | 23 | $155 | $121 |
| 91200 | Measurement of liver stiffness | 20 | $31 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | G37376 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.