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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Evelyn Li
❤️
MDIndividual

Evelyn Li, M.D.

NPI: 1235142761
Fremont, CA
10 years of data
Cardiology
$13.2M
Total Payments
31.3K
Beneficiaries
142.3K
Services
2.25x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$13.2M
Specialty median$193.1K

📋 Key Findings

1Billed $13.2M over 10 years
22.25x markup ratio (above median)
399th percentile in Cardiology by payments
457 services/day — unusually high
5Payments surged 64% in 2016
64 procedures with >3x markup

This provider averages 57 services per working day

Based on 142.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $13.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 57 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 139% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 64% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$269.15$112.462.39x$156.69$625.2K7.1K1.9K
2015$253.99$117.552.16x$136.44$843.5K10.9K2.5K
2016$314.13$138.212.27x$175.92$1.4M13.4K3.1K
2017$298.67$143.562.08x$155.11$1.4M15.0K3.5K
2018$351.87$172.802.04x$179.07$1.5M15.8K3.5K
2019$294.63$138.912.12x$155.72$1.2M13.1K3.3K
2020$348.67$156.182.23x$192.49$1.6M17.5K4.3K
2021$500.80$240.282.08x$260.52$1.9M19.1K3.7K
2022$453.81$200.642.26x$253.17$1.3M13.0K2.9K
2023$204.67$96.192.13x$108.48$1.5M17.4K2.7K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$3.0M
27.8K services$107.35/svc2.05x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$1.8M
12.5K services$146.39/svc1.91x markup
G0166External counterpulsation, per treatment session
$1.2M
9.2K services$130.13/svc2.35x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin
$740.0K
495 services$1.5K/svc1.82x markup
64450Injection of anesthetic agent, other peripheral nerve or branch⚠ 3.4x markup
$674.9K
15.5K services$43.64/svc3.37x markup
99490Chronic care management services at least 20 minutes per calendar month
$438.7K
11.9K services$36.85/svc2.75x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$391.5K
544 services$719.66/svc1.67x markup
36473Mechanochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance
$365.1K
241 services$1.5K/svc2.12x markup
99496Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge
$344.1K
1.4K services$240.98/svc1.42x markup
99358Prolonged patient service without direct patient contact first hour⚠ 3.4x markup
$276.5K
2.8K services$98.44/svc3.38x markup
33285Insertion of heart rhythm monitor under skin
$227.0K
42 services$5.4K/svc1.50x markup
99483Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
$204.9K
791 services$259.06/svc1.36x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$195.7K
977 services$200.26/svc2.23x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow
$189.4K
688 services$275.36/svc1.96x markup
G0181Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c
$182.5K
1.9K services$95.95/svc2.83x markup
99487Complex chronic care management services 60 minutes clinical staff time
$174.7K
1.7K services$100.10/svc1.34x markup
95992Repositioning maneuvers for treatment of vertigo, per day
$147.0K
3.7K services$39.49/svc2.63x markup
97032Application of electrical stimulation to 1 or more areas, each 15 minutes⚠ 4.8x markup
$146.1K
12.2K services$12.00/svc4.79x markup
76700Ultrasound of abdomen⚠ 3.1x markup
$143.8K
1.2K services$119.83/svc3.15x markup
99484Care management services for behavioral health conditions, at least 20 minutes clinical staff time
$141.2K
3.3K services$42.74/svc2.57x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes27.8K$3.0M$107.352.05x
99215Established patient office or other outpatient, visit typically 40 minutes12.5K$1.8M$146.391.91x
G0166External counterpulsation, per treatment session9.2K$1.2M$130.132.35x
36475Destruction of insufficient vein of arm or leg, accessed through the skin495$740.0K$1.5K1.82x
64450Injection of anesthetic agent, other peripheral nerve or branch15.5K$674.9K$43.643.37x
99490Chronic care management services at least 20 minutes per calendar month11.9K$438.7K$36.852.75x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days544$391.5K$719.661.67x
36473Mechanochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance241$365.1K$1.5K2.12x
99496Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge1.4K$344.1K$240.981.42x
99358Prolonged patient service without direct patient contact first hour2.8K$276.5K$98.443.38x
33285Insertion of heart rhythm monitor under skin42$227.0K$5.4K1.50x
99483Assessment of and care planning for patient with impaired thought processing, typically 50 minutes791$204.9K$259.061.36x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck977$195.7K$200.262.23x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow688$189.4K$275.361.96x
G0181Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c1.9K$182.5K$95.952.83x
99487Complex chronic care management services 60 minutes clinical staff time1.7K$174.7K$100.101.34x
95992Repositioning maneuvers for treatment of vertigo, per day3.7K$147.0K$39.492.63x
97032Application of electrical stimulation to 1 or more areas, each 15 minutes12.2K$146.1K$12.004.79x
76700Ultrasound of abdomen1.2K$143.8K$119.833.15x
99484Care management services for behavioral health conditions, at least 20 minutes clinical staff time3.3K$141.2K$42.742.57x

Markup Analysis

Charge-to-Payment Ratio

2.25x

This provider submits charges 2.25 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.25x means for every $100 Medicare pays, this provider initially charges $225. This is higher than the national average.

Location

Fremont, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Evelyn Li (you)
$13.2M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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