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