Active NPI 1730193459 Individual Practitioner Male Practitioner

Dr. Robert S H Lai , MD

Urology • Algonquin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Lai, MD is a certified Urology practicing in Algonquin, IL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Lai delivers high-quality medical care to the local community at 1465 COMMERCE DR.

Dr. Lai maintains professional affiliations with Carle Health Care Incorporated, Methodist Medical Center Of Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1465 Commerce Dr

Algonquin, IL 601025916

Telephone 8478027090

Fax 8478027095

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Algonquin, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +11.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Algonquin, IL (663 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lai (34 Years) 34 Yrs

Algonquin Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	237	186	$185.00	$85.98
81003 Automated urinalysis test	204	141	$7.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	204	141	$52.00	$10.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	149	$260.00	$122.36
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	160	34	$2920.00	$49.13
52000 Diagnostic exam of bladder and urethra using an endoscope	159	147	$630.00	$209.88
J0696 Injection, ceftriaxone sodium, per 250 mg	156	39	$50.70	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	109	51	$61.00	$13.47
J1580 Injection, garamycin, gentamicin, up to 80 mg	100	36	$32.19	$2.50
51702 Simple insertion of temporary bladder tube	85	32	$185.00	$57.75
76872 Ultrasound scan of pelvic region through rectum	84	83	$485.00	$126.28
51720 Instillation of anti-cancer drug into bladder	63	12	$265.00	$82.90
51700 Simple bladder irrigation and/or instillation	53	44	$225.00	$71.44
55700 Biopsy of prostate gland	50	50	$750.00	$227.14
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	38	38	$4010.00	$186.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	33	28	$1435.15	$414.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	28	$1560.94	$129.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	31	$150.00	$54.29
74420 Imaging of urinary tract	27	26	$61.00	$23.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	21	$870.00	$298.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$397.95	$155.96
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2230.00	$711.80
55876 Placement of device in prostate for radiation therapy	16	16	$440.00	$61.96
52204 Biopsy of the bladder using an endoscope	12	11	$1150.00	$112.93
55874 Injection of biodegradable material next to prostate	11	11	$9000.00	$145.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	368	212	$6.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	249	147	$49.00	$9.91
J0696 Injection, ceftriaxone sodium, per 250 mg	248	58	$5.30	$0.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	182	$242.81	$123.42
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	223	47	$2783.84	$49.74
99213 Established patient office or other outpatient visit, typically 15 minutes	190	149	$171.75	$86.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	80	$53.15	$13.47
52000 Diagnostic exam of bladder and urethra using an endoscope	122	110	$590.55	$211.70
76872 Ultrasound scan of pelvic region through rectum	99	98	$458.00	$127.83
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	24	$5.13	$2.70
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	62	61	$137.71	$55.82
55700 Biopsy of prostate gland	61	61	$710.79	$231.73
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	52	47	$3829.69	$196.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$332.09	$161.85
51700 Simple bladder irrigation and/or instillation	41	35	$213.02	$72.51
51702 Simple insertion of temporary bladder tube	38	21	$173.92	$56.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$1227.20	$115.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	11	$77.00	$31.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	271	212	$19.55	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	225	174	$134.62	$87.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$205.04	$108.85
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	139	37	$3236.08	$49.80
81002 Urinalysis, manual test	127	105	$20.00	$3.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	79	$88.72	$54.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	91	$222.08	$124.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	53	$147.32	$69.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	41	$102.00	$37.92
51798 Ultrasound measurement of bladder capacity after voiding	43	43	$48.70	$9.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	13	$68.41	$13.76
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	37	37	$4331.89	$204.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	25	$3288.68	$136.41
55700 Biopsy of prostate gland	25	24	$1051.20	$124.62
52000 Diagnostic exam of bladder and urethra using an endoscope	24	24	$1014.50	$232.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$315.36	$164.01
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$659.38	$58.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	14	$111.60	$29.07
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$193.33	$98.82
36415 Insertion of needle into vein for collection of blood sample	13	12	$35.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	258	174	$9.63	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	161	125	$155.63	$85.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	96	$230.10	$121.10
51798 Ultrasound measurement of bladder capacity after voiding	89	73	$40.65	$9.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$308.70	$155.05
52000 Diagnostic exam of bladder and urethra using an endoscope	43	42	$617.61	$215.16
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	43	17	$775.95	$48.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$87.42	$51.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$161.00	$68.94
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	17	17	$1568.41	$192.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$1643.18	$107.91
81002 Urinalysis, manual test	12	12	$7.00	$3.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$278.82	$127.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	311	185	$7.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	178	$200.28	$101.52
99213 Established patient office or other outpatient visit, typically 15 minutes	221	170	$135.02	$68.75
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	212	56	$122.15	$49.37
51798 Ultrasound measurement of bladder capacity after voiding	156	110	$37.50	$8.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$306.27	$152.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	65	$91.73	$41.72
52000 Diagnostic exam of bladder and urethra using an endoscope	59	55	$304.73	$190.61
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	56	56	$468.63	$197.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$374.70	$193.41
81002 Urinalysis, manual test	26	24	$11.92	$3.43
52000 Diagnostic exam of bladder and urethra using an endoscope	26	24	$361.12	$60.22
55700 Biopsy of prostate gland	21	21	$460.86	$124.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	18	$888.44	$116.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$261.00	$132.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$46.00	$13.32
50590 Shock wave crushing of kidney stones	13	12	$1271.42	$547.09
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	11	$650.50	$157.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$199.33	$99.90
76872 Ultrasound scan of pelvic region through rectum	11	11	$65.00	$33.16
51702 Simple insertion of temporary bladder tube	11	11	$160.00	$55.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$386.55	$196.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	370	177	$15.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	359	213	$134.00	$68.11
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	285	77	$705.02	$58.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$305.00	$152.91
51798 Ultrasound measurement of bladder capacity after voiding	174	105	$112.00	$11.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	113	$198.00	$100.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	87	$100.00	$40.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	90	$373.00	$190.12
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	80	77	$696.92	$213.19
55700 Biopsy of prostate gland	41	40	$464.00	$119.62
51702 Simple insertion of temporary bladder tube	37	26	$170.00	$56.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	32	$37.00	$20.61
52000 Diagnostic exam of bladder and urethra using an endoscope	36	34	$388.00	$60.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	26	$850.00	$105.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$198.00	$99.85
50590 Shock wave crushing of kidney stones	19	15	$1215.00	$519.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$135.00	$68.97
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	17	13	$582.00	$268.51
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	15	$725.00	$155.19
52265 Dilation of the bladder including local anesthetic using an endoscope	15	15	$1200.00	$123.85
76000 Imaging guidance for procedure, 60 minutes or less	13	11	$60.00	$14.72
51700 Simple bladder irrigation and/or instillation	12	12	$190.00	$13.70
57288 Creation of sling around bladder canal (urethra) to control leakage	11	11	$1625.00	$602.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	338	154	$15.00	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	203	145	$134.00	$66.65
51798 Ultrasound measurement of bladder capacity after voiding	180	110	$112.00	$13.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$305.00	$151.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	106	$198.00	$98.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	76	$373.00	$191.83
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	54	16	$2048.22	$58.13
51700 Simple bladder irrigation and/or instillation	54	20	$190.00	$67.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	45	$100.00	$40.07
J1212 Injection, dmso, dimethyl sulfoxide, 50%, 50 ml	49	14	$1384.00	$535.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$198.00	$96.96
55700 Biopsy of prostate gland	40	40	$464.00	$124.21
52000 Diagnostic exam of bladder and urethra using an endoscope	30	27	$388.00	$69.58
51702 Simple insertion of temporary bladder tube	25	23	$170.00	$58.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$194.00	$98.72
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	16	$725.00	$162.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$135.00	$66.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$382.00	$192.21
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$2706.50	$193.66
52648 Laser vaporization of prostate including control of bleeding using an endoscope	15	15	$1500.00	$659.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$850.00	$104.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	218	120	$14.88	$3.43
51798 Ultrasound measurement of bladder capacity after voiding	169	118	$112.00	$16.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$305.00	$149.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	98	$198.00	$98.87
99213 Established patient office or other outpatient visit, typically 15 minutes	76	64	$134.00	$66.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	68	$373.00	$188.57
J1212 Injection, dmso, dimethyl sulfoxide, 50%, 50 ml	71	19	$1355.27	$480.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	48	$92.98	$39.39
51700 Simple bladder irrigation and/or instillation	52	23	$190.00	$65.68
51720 Instillation of anti-cancer drug into bladder	39	11	$300.00	$80.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	19	$135.00	$68.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$198.00	$98.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	19	$194.00	$98.26
52000 Diagnostic exam of bladder and urethra using an endoscope	24	24	$388.00	$87.40
55700 Biopsy of prostate gland	20	20	$464.00	$121.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$905.26	$120.38

Medical Specialties & State Licenses

CMS Verified: 2022-05-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036 116997

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036116997 (IL)

Commercial Insurance / Payer ID Medicare Railroad

P00373589 (IL)

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

221 Ne Glen Oak Ave, Peoria, IL 616360001

Methodist Medical Center Of Illinois

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096829898

Carle Health Care Incorporated

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096911000

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Methodist Medical Center Of Illinois

5401 N Knoxville Ave, Peoria, IL 616145021

Phone: 3096896093

Methodist Medical Center Of Illinois

815 Main St, Peoria, IL 616021080

Phone: 3096724977

Carle Health Care Incorporated

600 S 13th St, Pekin, IL 615544936

Methodist Medical Center Of Illinois

600 S 13th St, Pekin, IL 615544936

Phone: 3093530825

Carle Health Care Incorporated

5401 N Knoxville Ave, Peoria, IL 616145021

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Methodist Medical Center Of Illinois

600 S 13th St, Pekin, IL 615544936

Phone: 3096724522

Methodist Medical Center Of Illinois

221 Ne Glen Oak Ave, Peoria, IL 616360001

Methodist Medical Center Of Illinois

815 Main St, Peoria, IL 616021076

Phone: 3096724977

Methodist Medical Center Of Illinois

221 Ne Glen Oak, Peoria, IL 616360001

Phone: 3096725522

Carle Health Care Incorporated

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096829898

Secondary Practice Locations

2507 N Richmond Rd Ste A

Mchenry, IL 600515407

Phone: 8478027090

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Ankit Patel , DO

Urology

NPI 1043636954

Doctor of Osteopathic Medicine (D.O.)

Wajiha Masood , PA-C

Physician Assistant

NPI 1225664337

Physician Assistant (Certified)

Dr. Mark Assmus , MD

Urology

NPI 1336752799

Doctor of Medicine (M.D.)

Madison Connealy , PA-C

Physician Assistant

NPI 1376229021

Physician Assistant (Certified)

Haley Sjodin , CSFA, CSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1396663324

Henry Wright

Urology

NPI 1518385335

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 16, 2022

Registered at 1465 COMMERCE DR, ALGONQUIN, IL 601025916 (Tel: 8478027090)

📍

Updated Business Mailing Address May 16, 2022

Registered at 1465 COMMERCE DR, ALGONQUIN, IL 601025916 (Tel: 8478027090)

📍

Updated Practice Location March 13, 2020

Registered at 1910 MALVERN AVE, HOT SPRINGS, AR 719017752 (Tel: 5013211000)

✅

NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2013

Registered at 675 W NORTH AVE STE 605, MELROSE PARK, IL 601601627 (Tel: 7084505055)

📍

Updated Business Mailing Address October 31, 2013

Registered at 675 W NORTH AVE STE 605, MELROSE PARK, IL 601601627 (Tel: 7084505055)

👤

Provider Name / Credentials Updated October 31, 2013

Recorded as ROBERT LAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Urology (License #036 116997 in IL)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730193459

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: May 16, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1465 Commerce Dr

Algonquin, IL 601025916

Phone: 8478027090

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.