Dr. Edwin Lai, MD
1135 116th Ave Ne, Suite 560, Bellevue, WA 98004 • +1-358-555-7343
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Bellevue Percentiles
NPI #1891824777 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across WA Gastroenterology providers positions Dr. Edwin Lai, MD in Bellevue at -0.20σ (66.67th city percentile / 68.8th state percentile, 270 Medicare beneficiaries), with clinical focus spanning 37 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 1135 116th Ave Ne, Suite 560 shows Dr. Edwin Lai's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 731x/yr, 66.67th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 494x/yr, $187–$256).
Cash-pay intake data for NPI 1891824777 (1135 116th Ave Ne, Suite 560, Bellevue) indicates $222.00 typical out-of-pocket visit spend against a $222.00 locality benchmark, paired with 13-minute average reception wait and 4.53/5 biomarker openness.
Credentialed as an MD specialist with 30 years post-graduation experience since completing medical school at an LCME/COCA institution (1996), Dr. Lai coordinates 37 Active CMS HCPCS Codes workups from 1135 116th Ave Ne, Suite 560 (+1-358-555-7343).
Compared against Bellevue, WA Gastroenterology peers
1,977 annual services across 270 beneficiaries
Standard deviations from WA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 731 | 66.67th | $78 – $106 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 494 | 66.67th | $187 – $256 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 415 | 69.67th | $155 – $213 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 198 | 68.67th | $208 – $285 |
| 99204 | New Patient Digestive & Hepatology Consultation | 138 | 61.67th | $109 – $150 |
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Dr. Edwin Lai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lai National Provider Identifier | NPI #1891824777 (MD) | CMS NPPES Registry (98004) |
| Dr. Lai Bellevue CMS Volume Rank | 66.67th Pct (1,977 CMS svcs; Z -0.200σ) | CMS Medicare Part B (WA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bellevue, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 13 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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