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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Ty Lai (NPI 1164713905)

Field	Value
Entity Type	Individual
Organization	Ty Lai
Address	22 S Greene St
City	Baltimore
State	MD
ZIP	21201
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	April 27, 2011

Payer Source	Total Paid
Medicare	$15K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$70	$3.4K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	40	$80	$3.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$150	$2.2K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	30	$50	$1.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$110	$1.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$100	$1.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10	$80	$1.2K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	40	$10	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Ty Lai — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,961	10,270	150	$90	$24.1K
99233	2,652	2,770	80	$100	$16.6K
99232	2,088	3,350	80	$60	$11.1K
99223	2,535	2,930	40	$140	$10.3K
99222	1,882	2,260	30	$100	$4.8K
64642	4	10	40	$90	$3.2K
95874	13	20	50	$40	$2.1K
64643	4	10	30	$70	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Savitt	MD	Neurology Physician	$66.3K	$0
Peter Gorman	MD	Neurology Physician	$61.9K	$0
Stephen Reich	MD	Specialist	$51.2K	$0
Paul Fishman	MD	Specialist	$42K	$0
Megan Margiotta	MD	Neurology Physician	$41.5K	$0
Jennifer Hopp	MD	Neurology Physician	$36.9K	$0
Jennifer Pritchard	MD	Epilepsy Physician	$34.3K	$0
Camilo Gutierrez	MD	Epilepsy Physician	$33.1K	$0
Lindsay Zilliox	MD	Neurology Physician	$20.4K	$0

Ty Lai — Billing Profile & Reimbursement Data

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Ty Lai — 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