Medicare Enrolled

Dr. Nina Lai, PA-C

Medical Physician Assistant · Santa Rosa, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2725 MENDOCINO AVE, Santa Rosa, CA 95403
7075454537
In practice since 2017 (9 years)
NPI: 1093254674 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 →
Are you Dr. Lai? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lai

Dr. Nina Lai is a medical physician assistant in Santa Rosa, CA, with 9 years of NPI registration. Based on federal Medicare data, Dr. Lai performed 2,835 Medicare services across 1,603 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lai received a total of $5,058 from 21 pharmaceutical and/or device companies across 222 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.

✓ 9 years in practice ▲ Top 7% volume in CA $5,058 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,835
Medicare services
Top 7% in CA for medical physician assistant
1,603
Unique beneficiaries
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~315 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
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
1,099 $5 $17
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
306 $36 $130
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.
284 $62 $160
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
275 $67 $220
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.
167 $85 $224
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
121 $38 $120
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
121 $83 $235
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
115 $70 $224
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
64 $40 $92
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 $104 $340
Destruction of 15 or more precancerous skin growths
This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer.
36 $125 $270
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
33 $38 $155
Injection into skin growths, 1-7
A procedure involving the injection of medication into one to seven skin growths.
32 $32 $120
Intermediate wound repair, 2.6-7.5 cm
A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing.
28 $228 $645
Ear tissue biopsy
A procedure to remove a small sample of tissue from the ear for laboratory examination.
26 $49 $200
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
26 $1 $15
Surgical removal of skin cancer, 1.1-2.0 cm
Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs.
20 $108 $525
Destruction of cancer skin growth, 1.1-2.0 cm
Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters.
16 $119 $370
Surgical removal of skin cancer, 2.1-3.0 cm
This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters.
15 $106 $600
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,058
Total received (2022-2024)
Avg $1,686/year across 3 years
Top 9% in CA for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
222
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,058 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,823
2023
$1,685
2022
$550

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$718
Novartis Pharmaceuticals Corporation
$271
E.R. Squibb & Sons, L.L.C.
$259
Regeneron Healthcare Solutions, Inc.
$257
UCB, Inc.
$216
Incyte Corporation
$196
Janssen Biotech, Inc.
$165
Boehringer Ingelheim Pharmaceuticals, Inc.
$119
Lilly USA, LLC
$106
LEO Pharma Inc.
$96
Amgen Inc.
$89
Arcutis Biotherapeutics, Inc.
$84
Fresenius Kabi USA, LLC
$73
Ortho Dermatologics, a division of Bausch Health US, LLC
$43
Galderma Laboratories, L.P.
$38
GENZYME CORPORATION
$38
Kyowa Kirin, Inc.
$25
PFIZER INC.
$16
SUN PHARMACEUTICAL INDUSTRIES INC.
$15
Top 3 companies account for 44.2% of 2024 payments
All-time payments by company (2022-2024) ›
ABBVIE INC.
$1,646
Novartis Pharmaceuticals Corporation
$434
Regeneron Healthcare Solutions, Inc.
$357
Lilly USA, LLC
$304
Janssen Biotech, Inc.
$269
UCB, Inc.
$266
Amgen Inc.
$263
E.R. Squibb & Sons, L.L.C.
$259
Incyte Corporation
$258
Sun Pharmaceutical Industries Inc.
$162
PFIZER INC.
$132
Fresenius Kabi USA, LLC
$125
Boehringer Ingelheim Pharmaceuticals, Inc.
$119
GENZYME CORPORATION
$98
LEO Pharma Inc.
$96
Arcutis Biotherapeutics, Inc.
$84
Dermavant Sciences, Inc.
$67
Ortho Dermatologics, a division of Bausch Health US, LLC
$43
Galderma Laboratories, L.P.
$38
Kyowa Kirin, Inc.
$25
SUN PHARMACEUTICAL INDUSTRIES INC.
$15
Top 3 companies account for 48.2% of all-time payments
Associated products mentioned in payments ›
ADBRY · Bimzelx · CIBINQO · COSENTYX · Cimzia · DUPIXENT · EUCRISA · IDACIO · ILARIS · ILUMYA · LIBTAYO · OPZELURA · Otezla · Poteligeo · REMICADE · RINVOQ · SILIQ · SKYRIZI · SPEVIGO · Sotyktu · TALTZ · TREMFYA · VTAMA · Winlevi · XOLAIR · Zoryve
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for medical physician assistant in CA.

Looking for a medical physician assistant in Santa Rosa?
Compare medical physician assistants in the Santa Rosa area by procedure volume, costs, and industry payment transparency.
Browse medical physician assistants nearby

Geographic Context

Medical physician assistants within 10 mi
35
Per 100K population
7.2
County median income
$102,840
Nearest hospital
SUTTER SANTA ROSA REGIONAL 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 above-average Medicare volume (top 7% in CA), with low-engagement industry engagement in the top 9% of CA peers.

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

Frequently Asked Questions

Is Dr. Lai experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Lai performed 1,099 destruction of precancerous skin growths, 2-14 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 $5,058 from 21 companies across 222 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 medical physician assistants in Santa Rosa?
Dr. Lai's average Medicare payment per service is $41. 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 →