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Ophthalmology • New York, NY 10021 • NPI #1255481701

Dr. Edward Lai, MD

1305 York Ave, 11th Floor, New York, NY 10021 • +1-926-555-9634

Medical Education: Accredited U.S. Medical School (Class of 1999)

25 Active CMS HCPCS Codes
4.67/5
Waiting-Room Score
10 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles

NPI #1255481701 • CBSA 35620 • Ophthalmology

Dr. Edward Lai DotMD Verification Badge

Operating out of New York, NY (1305 York Ave, 11th Floor), Ophthalmology clinician Dr. Edward Lai, MD (accredited MD/DO training, 1999) maintains a mid-cohort balanced caseload (47.15th New York percentile) (46.29th NY percentile; Z-score -0.21σ across 2,528 documented services) with sub-specialty concentration in 25 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1255481701 highlights 935 annual claims for 92014 (47.15th New York percentile; $337–$462 self-pay corridor) plus 657 encounters under 92134 and 430 under 92083.

Cash-pay intake data for NPI 1255481701 (1305 York Ave, 11th Floor, New York) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 14-minute average reception wait and 4.92/5 biomarker openness.

Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Lai coordinates 25 Active CMS HCPCS Codes workups from 1305 York Ave, 11th Floor (+1-926-555-9634).

New York Percentile 47.15th

Compared against New York, NY Ophthalmology peers

NY State Percentile 46.29th

2,528 annual services across 1,538 beneficiaries

Regional Volume Z-Score -0.215σ

Standard deviations from NY Ophthalmology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
92014 Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam 935 47.15th $337 – $462
92134 Scanning Computerized Ophthalmic Retinal OCT Imaging 657 50.15th $186 – $254
92083 Extended Threshold Visual Field Glaucoma Perimetry 430 45.15th $223 – $305
92004 New Patient Complete Medical Eye & IOP Evaluation 303 51.15th $406 – $556
66984 Extracapsular Cataract Removal w/ Intraocular Lens Implant 202 49.15th $1485 – $2035
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Dr. Edward Lai, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Lai National Provider Identifier NPI #1255481701 (MD) CMS NPPES Registry (10021)
Dr. Lai New York CMS Volume Rank 47.15th Pct (2,528 CMS svcs; Z -0.215σ) CMS Medicare Part B (NY Ophthalmology)
Fair Cash-Pay New-Patient Benchmark $239.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (New York, NY)
Waiting-Room Wait Time & Cash Friendliness $239.00 avg paid • 14 min lobby wait 10 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.88/5 Listening • 4.92/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.88/5
Patient communication rating
Modern Protocol Openness
4.92/5
Preventive labs, GLP-1s & HRT
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