Active NPI 1750549192 Individual Practitioner Male Practitioner

Dr. Elson Lai , MD

Ophthalmology • Rosemead, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elson Lai, MD is a certified Ophthalmology practicing in Rosemead, CA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Lai delivers high-quality medical care to the local community at 9428 VALLEY BLVD STE 201.

Dr. Lai is affiliated with Elson Lai Md A Professional Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9428 Valley Blvd Ste 201

Rosemead, CA 917701514

Telephone 6263530399

Associated Practice Facility / Clinic

🏢 Elson Lai, Md, A Professional Corporation Facility NPI 1053741280

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Rosemead, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -7.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Rosemead, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lai (19 Years) 19 Yrs

Rosemead Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	293	270	$353.93	$138.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	124	$351.30	$137.24
92250 Photography of the retina	144	143	$103.96	$39.92
76519 Ultrasound of eye for determination of lens power	102	81	$163.17	$63.69
92012 Established patient problem focused exam of visual system	94	85	$250.95	$98.15
92004 New patient complete exam of visual system	78	78	$416.39	$162.87
92133 Imaging of optic nerve	77	75	$102.12	$39.74
92025 Ct scan of cornea	74	74	$102.68	$36.11
92083 Exam of visual field with extended testing	72	70	$180.80	$70.48
66984 Removal of cataract with insertion of lens	56	39	$1479.01	$576.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$454.74	$178.22
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$250.03	$97.52
92134 Imaging of retina	25	22	$113.26	$44.07
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$933.24	$363.70
64727 Release of nerve using operating microscope	18	11	$500.00	$184.16
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	11	$150.00	$56.39
64708 Release of nerve of arm or leg, open procedure	18	11	$750.00	$273.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	255	227	$357.57	$141.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	96	$351.42	$138.99
92012 Established patient problem focused exam of visual system	146	119	$255.28	$100.81
92250 Photography of the retina	138	134	$105.70	$41.51
76519 Ultrasound of eye for determination of lens power	93	68	$160.69	$62.94
92004 New patient complete exam of visual system	90	90	$421.55	$167.00
92083 Exam of visual field with extended testing	88	84	$179.73	$70.88
66984 Removal of cataract with insertion of lens	70	47	$1496.08	$589.30
92133 Imaging of optic nerve	67	65	$103.82	$40.91
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$249.44	$98.55
92025 Ct scan of cornea	60	60	$103.46	$36.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$455.66	$180.22
92134 Imaging of retina	28	27	$114.25	$44.99
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$939.67	$371.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	269	247	$359.73	$142.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	116	$355.78	$141.14
92250 Photography of the retina	148	148	$105.68	$41.57
76519 Ultrasound of eye for determination of lens power	119	84	$159.97	$62.55
92012 Established patient problem focused exam of visual system	107	97	$254.78	$100.75
92004 New patient complete exam of visual system	98	98	$424.48	$168.21
92133 Imaging of optic nerve	86	84	$104.68	$41.39
99213 Established patient office or other outpatient visit, typically 15 minutes	82	73	$252.50	$99.91
66984 Removal of cataract with insertion of lens	81	50	$1499.05	$591.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$460.88	$182.58
92025 Ct scan of cornea	74	74	$103.18	$36.89
92083 Exam of visual field with extended testing	69	69	$180.83	$71.48
92134 Imaging of retina	17	17	$115.30	$45.71
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$944.53	$372.38
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$78.93	$31.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	216	189	$359.80	$144.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	104	$359.38	$143.79
92250 Photography of the retina	180	177	$111.74	$44.49
99213 Established patient office or other outpatient visit, typically 15 minutes	148	110	$253.68	$101.56
92004 New patient complete exam of visual system	89	89	$425.94	$170.56
92083 Exam of visual field with extended testing	80	78	$182.43	$72.48
76519 Ultrasound of eye for determination of lens power	76	52	$153.66	$61.50
66984 Removal of cataract with insertion of lens	58	36	$1509.43	$604.62
92133 Imaging of optic nerve	54	54	$105.55	$42.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$462.80	$184.99
92025 Ct scan of cornea	45	45	$105.16	$37.93
68761 Closure of tear duct opening using plug	25	11	$429.14	$130.59
92012 Established patient problem focused exam of visual system	22	20	$255.88	$102.48
92134 Imaging of retina	16	16	$116.50	$46.09
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$950.30	$380.64
76514 Ultrasound scan of cornea to determine thickness	14	14	$32.58	$12.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	252	159	$249.48	$101.40
92014 Established patient complete exam of visual system	181	166	$354.34	$144.41
92250 Photography of the retina	146	144	$128.39	$51.66
92004 New patient complete exam of visual system	60	60	$420.63	$171.45
76519 Ultrasound of eye for determination of lens power	53	38	$153.58	$61.12
92133 Imaging of optic nerve	52	52	$104.32	$42.62
92083 Exam of visual field with extended testing	47	45	$179.90	$73.33
66984 Removal of cataract with insertion of lens	37	25	$1532.18	$588.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$444.10	$177.17
92025 Ct scan of cornea	32	32	$102.81	$37.25
92134 Imaging of retina	17	17	$115.98	$43.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	328	205	$212.01	$100.35
92014 Established patient complete exam of visual system	256	216	$302.35	$142.90
92250 Photography of the retina	126	123	$135.12	$57.63
92004 New patient complete exam of visual system	86	86	$354.30	$170.54
92133 Imaging of optic nerve	70	64	$92.89	$42.11
76519 Ultrasound of eye for determination of lens power	66	50	$143.23	$64.22
66984 Removal of cataract with insertion of lens	45	29	$1612.25	$709.90
92025 Ct scan of cornea	42	42	$91.07	$39.19
92083 Exam of visual field with extended testing	38	38	$152.48	$73.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$385.27	$180.94
92134 Imaging of retina	21	21	$99.73	$46.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	310	185	$200.00	$98.57
92014 Established patient complete exam of visual system	236	187	$286.93	$141.65
92250 Photography of the retina	132	132	$133.00	$65.39
92004 New patient complete exam of visual system	128	128	$342.00	$168.79
76519 Ultrasound of eye for determination of lens power	84	64	$141.12	$69.47
92083 Exam of visual field with extended testing	69	69	$149.00	$73.04
66984 Removal of cataract with insertion of lens	61	39	$1444.00	$701.06
92025 Ct scan of cornea	53	53	$88.00	$38.86
92133 Imaging of optic nerve	45	42	$86.00	$42.24
76514 Ultrasound scan of cornea to determine thickness	25	25	$35.00	$15.91
92134 Imaging of retina	22	20	$95.00	$46.84
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$61.00	$29.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$363.00	$179.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	282	158	$193.00	$95.16
92004 New patient complete exam of visual system	176	176	$335.00	$165.11
92014 Established patient complete exam of visual system	175	146	$279.00	$137.40
76519 Ultrasound of eye for determination of lens power	91	66	$149.67	$73.69
92250 Photography of the retina	84	84	$152.00	$74.82
66984 Removal of cataract with insertion of lens	64	39	$1431.00	$686.64
92083 Exam of visual field with extended testing	50	47	$148.00	$72.81
92133 Imaging of optic nerve	38	35	$85.00	$41.76
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$60.00	$29.66
76514 Ultrasound scan of cornea to determine thickness	17	17	$34.00	$15.55

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A116241

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Elson Lai Md A Professional Corporation

9428 Valley Blvd, Rosemead, CA 917701514

Phone: 6269212889

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Steven Ma , MD

Specialist

NPI 1104964303

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2014

Registered at 9428 VALLEY BLVD STE 201, ROSEMEAD, CA 917701514 (Tel: 6263530399)

📍

Updated Business Mailing Address February 20, 2014

Registered at 9428 VALLEY BLVD STE 201, ROSEMEAD, CA 917701514 (Tel: 6263530399)

👤

Provider Name / Credentials Updated February 20, 2014

Recorded as ELSON LAI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Ophthalmology (License #A116241 in CA)

🟢

Initial NPI Registration & Enumeration May 31, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750549192

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2008

Last Update: February 20, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9428 Valley Blvd Ste 201

Rosemead, CA 917701514

Phone: 6263530399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.