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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRichard Li
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    Richard Li — Billing Profile & Reimbursement Data

    NPI 1881716777 · Uniontown, OH · Internal Medicine Physician

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    Richard Li is a internal medicine physician provider located in Uniontown, Ohio. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Li
    Address3515 Massillon Rd
    CityUniontown
    StateOH
    ZIP44685
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 4, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$93.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…340$70$23.9K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…470$50$22.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…480$40$21.1K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…210$40$8.1K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…20$200$4.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$80$3.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$120$3.8K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$100$3.7K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…50$30$1.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…20$30$580

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993498170080$80$11.3K
    99484132040$30$9.7K
    9949033420100$40$8.1K
    99483204040$140$7.9K
    G04392,5954,72060$90$7.4K
    993482561060$50$5.9K
    9943918820090$30$4.4K
    994965844020$170$3.7K
    993442618020$90$2.3K
    G01796125030$30$1.4K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Husna SiddiquiILRheumatology Physician$459.1K$5.1K
    Tushar ShahOHInternal Medicine Physician$331.1K$0
    Dayanand MakeyOHNephrology Physician$285.7K$0
    Saba SheikOHInternal Medicine Physician$249.6K$0
    Anthony NeborTXPulmonary Disease Physician$179.1K$0
    Muhammad ChaudhryAZInternal Medicine Physician$167.5K$0
    Hossam Eldin MustafaMIClinical Cardiac Electrophysiology Physician$164.3K$0
    Francisco MateoOHPulmonary Disease Physician$134.1K$17.1K
    Darrell GraceOHInternal Medicine Physician$148.9K$0
    Jessica KlineMOClinical Cardiac Electrophysiology Physician$127.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crossroads Hospice Of NortheastOHCommunity Based Hospice Care Agency$0$47.5M
    The Oak ClinicOHNeurology Physician$0$14.2M
    Timothy CarrabineOHInternal Medicine Physician$1.8M$0
    Christopher SheppardOHNeurology Physician$615.8K$0
    Comprehensive Surgical Center Of Green, LLCOHAmbulatory Surgical Clinic/Center$230.5K$136.7K
    Robert DallaraOHPain Medicine (Anesthesiology) Physician$56.8K$0
    Vimala RapakaOHPulmonary Disease Physician$31.4K$0
    Rita VogelOHCertified Registered Nurse Anesthetist$28.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Richard Li — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio