Physician

Henry Li, M.D.

According to 2025 Medicare claims, Henry Li, M.D. (NPI: 1831166024) practices hematology/oncology in the Seattle-Bellevue-Kent, WA market, with the plurality of this provider's patient population coming from King, WA. This provider's primary affiliated billing organization is THE POLYCLINIC PLLC (NPI: 1174594634; TIN: 910369070) and primary practice location at 98104-1132. Li is affiliated with the Jefferson Accountable Care, LLC (ACO ID: A5275) and CareMount Value Partners IPA (ACO ID: D0019), participating under both the MSSP and REACH models.

Li's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 566 traditional Medicare patients, billed 210,318 HCPCS/CPT codes, and received $3,004,397 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,915 prescription claims across 274 beneficiaries totaling $5,676,555 in drug costs, led by Calquence (Acalabrutinib Maleate). 2023 DME data shows 11 claims. No Open Payments records. 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 risen steadily, from $813,166 to $3,004,397. Similarly, Part D prescription costs have moved sharply higher in recent years, from $874,672 to $5,676,555. 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.

Year	Patients	Clm Lines	Payment
2015	242	56,758	$813,166
2016	286	116,585	$1,679,960
2017	289	111,881	$1,436,974
2018	288	72,122	$1,618,253
2019	254	68,482	$1,612,572
2020	247	63,791	$1,370,651
2021	381	73,582	$1,425,329
2022	431	136,736	$2,225,246
2023	512	196,740	$2,289,526
2024	566	210,318	$3,004,397

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	173	1,280	$874,672
2016	176	1,355	$1,063,998
2017	176	1,386	$1,698,551
2018	185	1,374	$2,488,948
2019	177	1,259	$2,742,176
2020	165	1,256	$2,781,894
2021	229	1,528	$3,631,431
2022	217	1,624	$4,769,450
2023	186	1,485	$3,861,407
2024	274	1,915	$5,676,555

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	39	$825
2016	N/R	N/R	N/R
2017	N/R	62	$1,151
2018	N/R	39	$4,178
2019	N/R	46	$6,182
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	11	$645
2024	N/R	N/R	N/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	643	$107
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	173	565	$58
80053	Blood test, comprehensive group of blood chemicals	258	903	$10
36415	Insertion of needle into vein for collection of blood sample	311	1,136	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	307	1,091	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Calquence	Acalabrutinib Maleate	65	1,950	$966,834
Xtandi	Enzalutamide	61	1,830	$905,866
Imbruvica	Ibrutinib	31	868	$676,490
Pomalyst	Pomalidomide	27	756	$662,729
Revlimid	Lenalidomide	26	721	$486,118

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Henry Li, M.D.?

Tedicare shows public-source Medicare data for Henry Li, M.D. (NPI 1831166024), 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 Henry Li, M.D. have ACO affiliation data?

Henry Li, M.D. is shown with ACO affiliation data for Jefferson Accountable Care, LLC (MSSP, ACO ID A5275) and CareMount Value Partners IPA (REACH, ACO ID D0019).

What billing organization is linked to Henry Li, M.D.?

Henry Li, M.D. is linked to THE POLYCLINIC PLLC (billing NPI 1174594634) in the available physician profile data.

Does Henry Li, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.