What is James Lai's specialty?

James Lai (NPI 1871606186) is a Medicare-billing provider whose primary specialty is Ophthalmology in Aiea, HI.

Where does James Lai practice?

James Lai practices in Aiea, HI, based on the location reported in the CMS Medicare provider datasets for NPI 1871606186.

How much does Medicare pay James Lai?

James Lai (NPI 1871606186) received approximately $1.4M in total Medicare Part B payments, serving 963 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1871606186

James LaiM.D.

OphthalmologyAiea, HII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,027

Unique beneficiaries

—

Total services

25,092

Distinct HCPCS

Medicare payment

$1.3M

Peer benchmark

Total Medicare services vs. 103 Ophthalmology providers in HI — top quintile (cohort median 1,487).

PRESCRIBING · PART D · 2024

Total Rx claims

414

Beneficiaries

—

Total drug cost

$24K

Distinct drugs

Brand share

19.8%

Top prescribed drugs

Prednisolone Acetate120 claims

Moxifloxacin Hcl82 claims

Ketorolac Tromethamine76 claims

Bromfenac Sodium45 claims

Brimonidine Tartrate45 claims

QUALITY · MIPS · 2024

Final MIPS score

98.5

Quality

97.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.99%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Lai'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Diagnostic Laboratory Services, Inc Clinical Laboratory · Aiea, HI	203	448
Clinical Laboratories Of Hawaii Llp Clinical Laboratory · Ewa Beach, HI	93	513
THE QUEEN'S MEDICAL CENTER	50	113
PALI MOMI MEDICAL CENTER	43	147
Pacific Asc Llc Ambulatory Surgical Center · Honolulu, HI	43	69
Raymond Wee Ophthalmology · Aiea, HI	29	154
KUAKINI MEDICAL CENTER	27	33
CASTLE MEDICAL CENTER	23	41
Troy Tanji Ophthalmology · Waipahu, HI	13	27
SPECTRA LABORATORIES INC	11	21

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