Physician

Lishi Sun, MD

According to 2025 Medicare claims, Lishi Sun, MD (NPI: 1124548268) practices hematology/oncology in the Everett, WA market, with the plurality of this provider's patient population coming from Snohomish, WA. This provider's primary affiliated billing organization is OPTUM CARE WASHINGTON PLLC (NPI: 1831186766; TIN: 910214500) and primary practice location at 98201-1621. Sun is affiliated with the PSW ACO (ACO ID: A5323) and CareMount Value Partners IPA (ACO ID: D0019), participating under both the MSSP and REACH models.

Sun's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 371 traditional Medicare patients, billed 84,498 HCPCS/CPT codes, and received $1,895,007 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,109 prescription claims across 276 beneficiaries totaling $2,598,170 in drug costs, led by Pomalyst (Pomalidomide). Open Payments data shows 2 records totaling $50. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,052 to $2,598,170. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$948K$1.9M2023 Medicare payment: $108,146 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,895,007 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023944,952$108,146
202437184,498$1,895,007

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.3M$2.6M2017 Drug cost: $1,052 (USD; Tot_Drug_Cst)2018 Drug cost: $10,447 (USD; Tot_Drug_Cst)2019 Drug cost: $32,388 (USD; Tot_Drug_Cst)2020 Drug cost: $28,382 (USD; Tot_Drug_Cst)2021 Drug cost: $36,544 (USD; Tot_Drug_Cst)2023 Drug cost: $163,598 (USD; Tot_Drug_Cst)2024 Drug cost: $2,598,170 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R20$1,052
201879220$10,447
201997277$32,388
202055236$28,382
2021N/R14$36,544
2022N/RN/RN/R
202359141$163,598
20242761,109$2,598,170

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more105221$135
96413Administration of chemotherapy into vein, 1 hour or less103198$104
80053Blood test, comprehensive group of blood chemicals84275$10
36415Insertion of needle into vein for collection of blood sample95341$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count88332$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
PomalystPomalidomide22616$518,407
IbrancePalbociclib22616$408,571
XtandiEnzalutamide17510$282,033
ErleadaApalutamide13510$281,056
ImbruvicaIbrutinib11308$209,698

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$50Daiichi Sankyo Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Lishi Sun, MD?

Tedicare shows public-source Medicare data for Lishi Sun, MD (NPI 1124548268), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Lishi Sun, MD have ACO affiliation data?

Lishi Sun, MD is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323) and CareMount Value Partners IPA (REACH, ACO ID D0019).

What billing organization is linked to Lishi Sun, MD?

Lishi Sun, MD is linked to OPTUM CARE WASHINGTON PLLC (billing NPI 1831186766) in the available physician profile data.

Does Lishi Sun, MD have Open Payments data?

Lishi Sun, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.