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

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

Amy Li (NPI 1275823684)

Field	Value
Entity Type	Individual
Organization	Amy Li
Address	9398 Ridgetop Blvd Nw
City	Silverdale
State	WA
ZIP	98383
Taxonomy	Urology Physician
NPI Enumerated	April 19, 2011

Payer Source	Total Paid
Medicare	$325.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	750	$90	$69.3K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	300	$180	$52.3K
52442	In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.	60	$710	$39.1K
99204	The provider sees a new 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 provider…	220	$120	$25.1K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	80	$270	$21.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	320	$70	$20.6K
J0585	Injection, onabotulinumtoxina, 1 unit	3,650	$10	$18.3K
52441	Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.	10	$1,020	$13.3K
52287	The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…	40	$300	$10.4K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	20	$530	$9K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Amy Li — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64590	9	10	20	$3,740	$71.1K
J0585	62	90	6,700	$1	$55.7K
64561	10	10	30	$1,650	$48K
52442	18	20	90	$320	$29.6K
52000	5	180	90	$140	$14.4K
99214	267	10,860	100	$80	$13.6K
52601	12	30	20	$640	$12.2K
52287	15	50	20	$310	$11.4K
52441	17	20	20	$500	$11K
50590	8	20	20	$450	$10.4K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Multicare Health System	WA	Family Medicine Physician	$0	$25.8M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
Franciscan Health System	WA	Internal Medicine Physician	$0	$6.4M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$4.5M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Kim	WA	Rheumatology Physician	$1M	$0
Manas Jain	WA	Urology Physician	$489.2K	$0

Nearby Providers

Other providers in the same ZIP code as Amy Li, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Washington Community Care	WA	General Acute Care Hospital	$0	$66.2M
Central Kitsap Fire & Rescue 1	WA	Land Ambulance	$727.8K	$11M
West Sound Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$8.3M
David Spinak	WA	Ophthalmology Physician	$4.1M	$0
Mark Heinemann	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.3M
Easter Seals Washington	WA	Community/Behavioral Health Agency	$0	$3.3M
Adrian Omalley	WA	Ophthalmology Physician	$3M	$0
Salmon Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$2.3M	$44.3K
Todd Schneiderman	WA	Ophthalmology Physician	$2.3M	$0
Surgery Center Of Silverdale LLC	WA	Ambulatory Surgical Clinic/Center	$1.5M	$0

Amy Li — Billing Profile & Reimbursement Data

Sign up for Amy Li — Billing Profile & Reimbursement Data policy alerts

Amy Li — Billing Profile & Reimbursement Data

Sign up for Amy Li — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References