Medicare Enrolled

Dr. Elson Lai, MD

Ophthalmology · Rosemead, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
9428 VALLEY BLVD STE 201, Rosemead, CA 91770
6263530399
In practice since 2008 (17 years)
NPI: 1750549192 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Lai from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Lai

Dr. Elson Lai is an ophthalmology specialist in Rosemead, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Lai performed 1,320 Medicare services across 1,140 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lai received a total of $48,658 from 37 pharmaceutical and/or device companies across 347 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lai is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ 1,320 Medicare services $48,658 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,320
Medicare services
Bottom 41% in CA for ophthalmology
1,140
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~78 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
255 $91 $358
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
155 $96 $351
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
146 $71 $255
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
138 $28 $106
Ultrasound scan to determine eye length and lens power
An ultrasound procedure used to measure the length of the eye and calculate the power of the lens.
93 $46 $161
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
90 $101 $422
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
88 $52 $180
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
70 $467 $1,496
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
67 $30 $104
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
63 $67 $249
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
60 $27 $103
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
51 $111 $456
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
28 $31 $114
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
16 $290 $940
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
5.3% high complexity
18.8% medium
75.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$48,658
Total received (2018-2024)
Avg $6,951/year across 7 years
Top 7% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
347
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$19,536 (40.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,054 (30.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$14,068 (28.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$8,414
2023
$15,389
2022
$13,707
2021
$1,705
2020
$527
2019
$4,549
2018
$4,368

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
SUN PHARMACEUTICAL INDUSTRIES INC.
$5,824
Alcon Vision LLC
$1,339
Bausch & Lomb Americas Inc.
$433
Glaukos Corporation
$272
Carl Zeiss Meditec USA, Inc.
$190
Tarsus Pharmaceuticals, Inc.
$168
Amgen Inc.
$82
Oyster Point Pharma, Inc.
$81
ABBVIE INC.
$26
Top 3 companies account for 90.3% of 2024 payments
All-time payments by company (2018-2024) ›
Sight Sciences, Inc.
$12,310
Sun Pharmaceutical Industries Inc.
$8,171
SUN PHARMACEUTICAL INDUSTRIES INC.
$5,843
Alcon Vision LLC
$5,771
Johnson & Johnson Surgical Vision, Inc.
$3,746
Bausch & Lomb Americas Inc.
$2,646
Shire North American Group Inc
$1,951
Novartis Pharmaceuticals Corporation
$1,355
Glaukos Corporation
$1,158
Allergan Inc.
$1,058
Beaver-Visitec International, Inc.
$1,051
Oyster Point Pharma, Inc.
$513
Carl Zeiss Meditec USA, Inc.
$438
Allergan, Inc.
$410
Alcon Laboratories Inc
$295
Bausch & Lomb, a division of Bausch Health US, LLC
$265
Carl Zeiss Meditec, Inc.
$172
Tarsus Pharmaceuticals, Inc.
$168
RxSight Inc
$167
Lumenis BE inc
$161
Ivantis, Inc
$134
EyePoint Pharmaceuticals US, Inc.
$133
AcelRx Pharmaceuticals, Inc.
$104
Kala Pharmaceuticals, Inc.
$87
Amgen Inc.
$82
Alcon Research Ltd
$65
ABBVIE INC.
$64
OPTOS, INC.
$54
BIOTISSUE HOLDINGS, INC.
$53
Dompe US, Inc.
$49
Mallinckrodt Hospital Products Inc.
$45
Horizon Therapeutics plc
$38
EYEVANCE PHARMACEUTICALS LLC
$31
Aerie Pharmaceuticals, Inc.
$20
Carl Zeiss Meditec AG
$19
Optos, Inc.
$18
Eyevance Pharmaceuticals LLC
$14
Top 3 companies account for 54.1% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ALREX · AMVISC · ARGOS · ARTEVO 800 · AcrySof · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY IOL · BromSite (bromfenac ophthalmic solution) 0.075% · CATALYS SYSTEM · CIRRUS HD-OCT · Centurion · Cequa · Clareon · CyPass · DEXYCU · DSUVIA · DUREZOL · DURYSTA · EQ Workplace · EYSUVIS · Flarex · HYDRUS Microstent · Hydrus Microstent · IC-8 Apthera IOL · INVELTYS · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · KXL System · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX · LOTEMAX GEL · LUMIGAN · Luxor · M22 · MIEBO · NGENUITY · None Specified · OMNI SURGICAL SYSTEM · OMNI(R) SURGICAL SYSTEM (US) · ORA · OXERVATE · P200DTx · PAZEO · PROKERA · PROLENSA · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT INJECTOR HANDPIECE · Rocklatan · Simbrinza · Stellaris · TEARCARE SYSTEM · TECNIS IOL · TEPEZZA · TRAVATAN Z · TYRVAYA · TearCare SmartLid · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · TobraDex ST · Tobradex ST · ULTRA MULTIFOCAL TORIC · VUITY · VYZULTA · Verion · Wavelight Refractive Suite · XDEMVY · XELPROS · XEN · XIIDRA · enVista MX60 IOL · iDose · iStent Trabecular Micro-Bypass System Model iS3 · iStent inject W · rhopressa
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (40%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in ophthalmology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for ophthalmology in CA.

Looking for an ophthalmology specialist in Rosemead?
Compare ophthalmologists in the Rosemead area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
849
Per 100K population
8.6
County median income
$87,760
Nearest hospital
BHC ALHAMBRA HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Lai is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 7% of CA peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lai experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Lai performed 255 comprehensive eye exam, established patient services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Lai receive payments from pharmaceutical companies?
Yes. Dr. Lai received a total of $48,658 from 37 companies across 347 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Lai's costs compare to other ophthalmologists in Rosemead?
Dr. Lai's average Medicare payment per service is $92. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Lai) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →