Active NPI 1871606186 Individual Practitioner Male Practitioner

Dr. James C Lai , MD

Ophthalmology • Aiea, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Lai, MD is a certified Ophthalmology practicing in Aiea, HI. With approximately 30 years of clinical experience since graduating from University Of Michigan Medical School in 1996, Dr. Lai delivers high-quality medical care to the local community at 98-1079 MOANALUA RD.

Dr. Lai is affiliated with Retina Consultants Of Hawaii Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98-1079 Moanalua Rd
Suite 470

Aiea, HI 967014723

Telephone 8084878928

Fax 8084873699

Associated Practice Facility / Clinic

🏢 Retina Consultants Of Hawaii Inc Facility NPI 1124089446

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Aiea, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -0.4 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 31.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Aiea, HI (136 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lai (30 Years) 30 Yrs

Aiea Specialty Average (30.4 Years) 30.4 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
J2777 Injection, faricimab-svoa, 0.1 mg	19,261	86	$55.00	$33.79
92134 Imaging of retina	1,766	864	$380.10	$44.06
92014 Established patient complete exam of visual system	1,171	842	$235.60	$137.51
67028 Injection of drug into eye	804	213	$732.98	$119.55
J0178 Injection, aflibercept, 1 mg	728	108	$1270.67	$797.50
92012 Established patient problem focused exam of visual system	577	267	$160.21	$97.02
92250 Photography of the retina	289	223	$287.96	$41.08
92201 Extended exam of the back part of the eye with retinal drawing	180	165	$248.02	$26.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$317.89	$173.51
J7999 Compounded drug, not otherwise classified	76	37	$150.00	$79.59
92235 Exam of retinal blood vessels using a special camera after injection of a dye	55	54	$597.91	$184.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$256.54	$134.72
76512 Ultrasound of eye disease, growth, or structure	36	21	$424.08	$53.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	18	$4895.29	$1173.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	14,917	57	$55.00	$36.59
92134 Imaging of retina	1,909	897	$380.10	$43.18
92014 Established patient complete exam of visual system	1,161	846	$235.60	$136.27
J0178 Injection, aflibercept, 1 mg	934	138	$1225.00	$817.54
67028 Injection of drug into eye	902	240	$732.98	$116.47
92012 Established patient problem focused exam of visual system	743	319	$160.21	$95.43
92250 Photography of the retina	256	207	$287.96	$40.81
92201 Extended exam of the back part of the eye with retinal drawing	169	154	$248.02	$25.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$317.52	$175.48
J7999 Compounded drug, not otherwise classified	111	52	$150.00	$91.53
92235 Exam of retinal blood vessels using a special camera after injection of a dye	55	55	$597.91	$155.20
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	26	26	$4895.29	$1174.64
76512 Ultrasound of eye disease, growth, or structure	24	19	$424.08	$52.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	2,283	28	$54.99	$37.45
92134 Imaging of retina	1,772	862	$380.10	$43.58
J0178 Injection, aflibercept, 1 mg	1,120	164	$1225.00	$839.92
92014 Established patient complete exam of visual system	1,056	792	$235.60	$137.39
67028 Injection of drug into eye	901	248	$732.98	$115.16
92012 Established patient problem focused exam of visual system	742	301	$160.21	$94.56
J0179 Injection, brolucizumab-dbll, 1 mg	240	13	$408.30	$310.16
92250 Photography of the retina	164	138	$287.96	$40.97
92201 Extended exam of the back part of the eye with retinal drawing	159	140	$248.02	$26.27
J7999 Compounded drug, not otherwise classified	137	56	$114.23	$89.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$317.28	$177.07
92235 Exam of retinal blood vessels using a special camera after injection of a dye	60	58	$597.91	$140.55
J3590 Unclassified biologics	46	21	$3295.00	$2288.30
76512 Ultrasound of eye disease, growth, or structure	25	19	$424.08	$52.78
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	17	17	$4895.29	$1216.28
67036 Removal of eye fluid (vitreous) between the lens and retina	14	13	$4319.37	$857.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,767	829	$380.10	$44.37
J0178 Injection, aflibercept, 1 mg	1,261	157	$1225.97	$897.20
92014 Established patient complete exam of visual system	1,068	794	$235.60	$137.53
67028 Injection of drug into eye	1,022	266	$732.98	$118.95
92012 Established patient problem focused exam of visual system	801	329	$160.21	$96.08
J0179 Injection, brolucizumab-dbll, 1 mg	486	14	$408.32	$312.73
J2778 Injection, ranibizumab, 0.1 mg	314	15	$546.34	$315.92
92250 Photography of the retina	225	211	$286.47	$41.93
J7999 Compounded drug, not otherwise classified	187	80	$99.48	$84.96
92201 Extended exam of the back part of the eye with retinal drawing	168	148	$248.02	$26.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$317.28	$174.92
92235 Exam of retinal blood vessels using a special camera after injection of a dye	71	70	$597.91	$128.86
76512 Ultrasound of eye disease, growth, or structure	29	24	$424.08	$53.61
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	23	$4895.29	$1237.00
92227 Diagnostic imaging of retina	16	15	$120.00	$18.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$382.20	$238.12
67036 Removal of eye fluid (vitreous) between the lens and retina	11	11	$4319.37	$841.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,495	720	$380.10	$43.92
J0178 Injection, aflibercept, 1 mg	1,098	157	$1225.00	$919.12
67028 Injection of drug into eye	978	268	$732.98	$105.95
92014 Established patient complete exam of visual system	874	690	$235.60	$135.60
92012 Established patient problem focused exam of visual system	787	314	$160.21	$95.10
J0179 Injection, brolucizumab-dbll, 1 mg	540	21	$408.33	$313.93
J2778 Injection, ranibizumab, 0.1 mg	380	21	$515.79	$333.95
92250 Photography of the retina	187	170	$285.27	$47.99
J7999 Compounded drug, not otherwise classified	187	73	$99.48	$88.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$317.28	$169.08
92201 Extended exam of the back part of the eye with retinal drawing	104	100	$237.97	$26.31
92235 Exam of retinal blood vessels using a special camera after injection of a dye	59	58	$597.91	$111.98
76512 Ultrasound of eye disease, growth, or structure	22	13	$424.08	$57.82
92227 Diagnostic imaging of retina	19	19	$120.00	$15.47
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	14	$4895.29	$1182.22
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$4319.37	$899.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,731	811	$380.10	$43.83
J0178 Injection, aflibercept, 1 mg	1,146	152	$1225.00	$941.68
92014 Established patient complete exam of visual system	1,075	795	$209.59	$134.50
67028 Injection of drug into eye	1,062	280	$732.98	$105.01
92012 Established patient problem focused exam of visual system	827	341	$145.59	$93.61
J2778 Injection, ranibizumab, 0.1 mg	509	25	$553.54	$354.47
J7999 Compounded drug, not otherwise classified	290	103	$99.48	$79.35
92250 Photography of the retina	246	219	$264.35	$52.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$273.00	$168.35
92226 Examination of eye by ophthalmoscope with retinal drawing	119	101	$154.60	$25.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	74	73	$597.91	$98.16
92227 Diagnostic imaging of retina	27	27	$120.00	$16.31
92225 Examination of eye by ophthalmoscope with retinal drawing	25	25	$157.99	$29.99
76512 Ultrasound of eye disease, growth, or structure	23	19	$424.08	$66.99
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	20	19	$4895.29	$1242.51
67036 Removal of eye fluid (vitreous) between the lens and retina	17	17	$4319.37	$889.83
J9035 Injection, bevacizumab, 10 mg	13	12	$99.48	$68.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$318.89	$218.34
66985 Insertion of prosthetic lens	12	12	$2421.46	$417.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,947	868	$380.10	$44.36
J0178 Injection, aflibercept, 1 mg	1,168	141	$1225.00	$949.51
92014 Established patient complete exam of visual system	1,154	848	$157.07	$133.77
67028 Injection of drug into eye	1,097	273	$732.98	$106.14
92012 Established patient problem focused exam of visual system	929	363	$119.37	$93.41
J2778 Injection, ranibizumab, 0.1 mg	709	32	$504.85	$368.05
J7999 Compounded drug, not otherwise classified	302	99	$99.48	$74.02
92250 Photography of the retina	219	196	$242.82	$59.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$201.05	$168.45
92226 Examination of eye by ophthalmoscope with retinal drawing	126	107	$98.01	$25.99
92235 Exam of retinal blood vessels using a special camera after injection of a dye	85	85	$597.91	$93.28
92225 Examination of eye by ophthalmoscope with retinal drawing	45	42	$106.81	$28.48
76512 Ultrasound of eye disease, growth, or structure	36	27	$424.08	$82.40
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	31	15	$1612.56	$337.59
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	20	20	$4895.29	$1195.15
67036 Removal of eye fluid (vitreous) between the lens and retina	19	16	$4319.37	$964.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$245.03	$215.98
66985 Insertion of prosthetic lens	15	13	$2421.46	$440.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,913	828	$380.10	$42.13
J0178 Injection, aflibercept, 1 mg	1,156	138	$1225.00	$949.61
92014 Established patient complete exam of visual system	1,142	811	$157.07	$126.29
67028 Injection of drug into eye	962	251	$732.98	$102.20
92012 Established patient problem focused exam of visual system	913	352	$119.37	$87.41
J2778 Injection, ranibizumab, 0.1 mg	622	28	$527.81	$372.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	221	221	$201.05	$160.57
92250 Photography of the retina	220	203	$243.77	$68.86
J7999 Compounded drug, not otherwise classified	210	78	$99.48	$72.21
92226 Examination of eye by ophthalmoscope with retinal drawing	108	90	$98.01	$25.07
92235 Exam of retinal blood vessels using a special camera after injection of a dye	106	105	$593.96	$82.17
92225 Examination of eye by ophthalmoscope with retinal drawing	52	49	$106.81	$26.97
76512 Ultrasound of eye disease, growth, or structure	43	37	$424.08	$93.66
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	29	29	$4895.29	$1132.94
67036 Removal of eye fluid (vitreous) between the lens and retina	20	20	$4319.37	$878.78
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	18	15	$1612.56	$346.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$245.03	$207.81
66985 Insertion of prosthetic lens	12	12	$2421.46	$396.45

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License HI 14115

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

59452401 (HI)

Hospital & Practice Group Affiliations

Retina Consultants Of Hawaii Inc

98 -1079 Moanalua Rd, Aiea, HI 967014723

Phone: 8084878928

Retina Consultants Of Hawaii Inc

321 N Kuakini St, Honolulu, HI 967014723

Retina Consultants Of Hawaii Inc

321 N Kuakini St, Honolulu, HI 968172360

Phone: 8084878928

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Raymond Wee , MD

Ophthalmology

NPI 1104980382

Doctor of Medicine (M.D.)

Sarah Read

Ophthalmology

NPI 1124381652

Dr. Annabelle Okada , MD

Specialist

NPI 1487953238

Doctor of Medicine (M.D.)

Gregg Kokame

Ophthalmology

NPI 1760590988

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2008

Registered at 98-1079 MOANALUA RD, SUITE 470, AIEA, HI 967014723 (Tel: 8084878928)

📍

Updated Business Mailing Address January 11, 2008

Registered at 98-1079 MOANALUA RD, SUITE 470, AIEA, HI 967014723 (Tel: 8084878928)

👤

Provider Name / Credentials Updated January 11, 2008

Recorded as JAMES LAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2008

Ophthalmology (License #14115 in HI)

🟢

Initial NPI Registration & Enumeration August 17, 2006

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: 1871606186

Entity Type:

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

Enumeration Date: August 17, 2006

Last Update: January 11, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

98-1079 Moanalua Rd, Suite 470

Aiea, HI 967014723

Phone: 8084878928

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.