What is Lily Kao's specialty?

Lily Kao (NPI 1578742888) is a Medicare-billing provider whose primary specialty is Rheumatology in San Jose, CA.

Where does Lily Kao practice?

Lily Kao practices in San Jose, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1578742888.

How much does Medicare pay Lily Kao?

Lily Kao (NPI 1578742888) received approximately $98K in total Medicare Part B payments, serving 223 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1578742888

Lily KaoMD

PRACTICEEVERGREEN MEDICAL GROUP, INC.See all providers at this practice →

RheumatologySan Jose, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

700

Unique beneficiaries

—

Total services

3,169

Distinct HCPCS

Medicare payment

$94K

Peer benchmark

Total Medicare services vs. 530 Rheumatology providers in CA — above median (cohort median 1,833).

PRESCRIBING · PART D · 2024

Total Rx claims

2,693

Beneficiaries

—

Total drug cost

$3.8M

Distinct drugs

Brand share

49.5%

Top prescribed drugs

Methotrexate Sodium618 claims

Hydroxychloroquine Sulfate227 claims

Alendronate Sodium184 claims

Leflunomide149 claims

Prednisone101 claims

QUALITY · MIPS · 2024

Final MIPS score

28.9

Quality

0.0

Cost

96.4

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.53%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$3K

Payment records

152

By payment type

Food and Beverage$3K

Top paying entities

Food and Beverage$3K

REFERRAL NETWORK

Where Lily Kao's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WEST COAST CLINICAL LABORATORIES, INC.	69	152
SAN JOSE HEALTHCARE SYSTEM, L.P.	21	38
NPI 1447682380	21	32

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events