Physician

Horng-Chyi Richard Lai, MD

According to 2025 Medicare claims, Horng-Chyi Lai, MD (NPI: 1528385598) practices rheumatology in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is PURE INFUSION SUITES OF MONTANA LLC (NPI: 1588137228; TIN: 83-3021264) and primary practice location at 59405-5314. Lai is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), and PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Lai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 426 traditional Medicare patients, billed 180,753 HCPCS/CPT codes, and received $3,706,447 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 2,517 prescription claims across 322 beneficiaries totaling $3,344,562 in drug costs, led by Acthar (Corticotropin). 2016 DME data shows 11 claims. Open Payments data shows 236 records totaling $90,306. 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's Medicare Part B carrier billing has moved sharply higher in recent years, from $4,752 to $3,706,447. Similarly, Part D prescription costs have risen steadily, from $72,836 to $3,344,562. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.