Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Li (NPI 1154435006)

Field	Value
Entity Type	Individual
Organization	Michael Li
Address	2055 Valley Ave
City	Winchester
State	VA
ZIP	22601
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicare	$490
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	30	$10	$290
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10	$20	$170
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Michael Li — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
71046	289	1,510	50	$10	$1.6K
83037	1	20	40	$10	$640
81002	135	950	30	$1	$270

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Li, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$61M
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$5M
Hospitalist Medicine Physicians Of West Virginia, PLLC	WV	Internal Medicine Physician	$0	$4.1M
Shenandoah Valley Medical System,inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M
Pradeep Chadha	WV	Internal Medicine Physician	$603.3K	$0
Frederick Kozlowski	VA	Internal Medicine Physician	$399.4K	$0
Andrew Schwentker	VA	Internal Medicine Physician	$384.4K	$0
Alemeshet Gudeta	MD	Internal Medicine Physician	$296.1K	$0
Douglas Keim	VA	Internal Medicine Physician	$256.2K	$0
Rotimi Ayoola	VA	Gastroenterology Physician	$254K	$1.2K

Michael Li — Billing Profile & Reimbursement Data

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Michael Li — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References