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Lilly Chang, OD

Optometrist · Mountain View

NPI 1619521259

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Chang’s office at (650) 603-8766 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$402,207

Medicare paid this office $402,207 for 3,294 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient complete exam of visual system1,298$182,706$141
Established patient complete exam of visual system1,357$162,085$119
Established patient problem focused exam of visual system442$39,921$87
New patient problem focused exam of visual system202$16,472$82
Photography of the retina12$299$25

Who their Medicare patients are

3,294 Original Medicare patients in 2024. Average age 78 · Under 65 8% · 85 and older 31% · Women 55% · Also on Medicaid 85% · Health risk score 2.42. Sicker patients than 9 in 10 peers; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75% · Depression 57% · Dementia 57% · Diabetes 48% · Chronic kidney disease 39% · Heart failure 33% · Coronary heart disease 31% · Atrial fibrillation 31% · COPD 29% · Stroke 26% · Cancer 13%.

The office billed $686,910, Medicare allowed $508,868 and paid $402,207; for 3,344 services of 12 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20243,2943,344782.42$686,910$402,207
20232,0472,116782.36$424,136$251,648
20221,5541,684762.35$286,969$177,054
2021563691751.83$98,251$70,019

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Established patient complete exam of visual system883$107,249$121
New patient complete exam of visual system720$102,388$142
Established patient problem focused exam of visual system332$30,481$88
New patient problem focused exam of visual system118$9,836$83
Photography of the retina13$401$31

2022: 8 services

Original Medicare services billed in 2022
New patient complete exam of visual system583$77,046$132
Established patient complete exam of visual system608$65,827$108
Established patient problem focused exam of visual system238$19,655$79
New patient problem focused exam of visual system128$9,751$76
Photography of the retina40$1,227$31
Short return visit21$1,042$42
Exam of visual field with extended testing12$798$53
Imaging of optic nerve12$391$28

2021: 9 services

Original Medicare services billed in 2021
New patient complete exam of visual system202$27,242$135
Established patient complete exam of visual system233$27,172$116
Established patient problem focused exam of visual system67$5,836$86
New patient problem focused exam of visual system29$2,335$81
Photography of the retina49$1,773$35
Short return visit26$1,364$44
Short return visit (20+ min)18$1,282$67
Exam of visual field with extended testing15$921$58
Imaging of optic nerve14$457$30

Medicaid work

$70,687 in 2024

Medicaid paid $70,687 for 3,716 billed services this clinician did in 2024, up to 98 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST612$28,818
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST375$18,268
Fitting of bifocal spectacles513$8,545
Frames, purchases777$5,240
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient158$4,855
DETERMINATION REFRACTIVE STATE1,076$3,232
Fitting of monofocal spectacles205$1,729
Medicaid work by year
20243,716798$70,687
20233,5098118$30,427
20222,367791$24,624
2021548557$2,995
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST469$7,854
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST369$6,877
Frames, purchases692$5,067
Fitting of bifocal spectacles455$4,913
DETERMINATION REFRACTIVE STATE1,294$4,077
Fitting of monofocal spectacles133$1,023
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient85$492
INTRM OPH EXAM NEW PATIENT12$125

2022

Largest Medicaid services in 2022
Frames, purchases510$5,427
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST245$4,632
DETERMINATION REFRACTIVE STATE1,035$4,428
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST197$4,262
Fitting of bifocal spectacles249$4,153
Fitting of monofocal spectacles108$1,439
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient23$283

2021

Largest Medicaid services in 2021
DETERMINATION REFRACTIVE STATE334$1,026
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST67$906
Frames, purchases73$364
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST62$356
Fitting of bifocal spectacles12$343

Drugs they prescribed that Part D paid

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their 11 Part D prescriptions in 2022. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

Year by year

Part D prescribing by year
202211None0% (0)None$2,061
202121None0% (0)52%$641

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Latanoprost11$322$29

Money from drug and device companies

$226 in 2022

Industry payments by year
202223None$226
202112None$30
202033None$183
201922None$145

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Bausch & Lomb AmericasUltra Multifocal Toric$133
2 payments
  • Meals for Ultra Multifocal Toric · 2022-04-26 · $111
  • Meals for Lotemax Sm · 2022-01-18 · $22
Johnson & Johnson Vision CareAcuvue$93
1 payment
  • Meals for Acuvue · 2022-08-04 · $93
See all 3 published payments
Every published payment
Johnson & Johnson Vision CareMeals · 2022-08-04Acuvue$93
Bausch & Lomb AmericasMeals · 2022-04-26Ultra Multifocal Toric$111
Bausch & Lomb AmericasMeals · 2022-01-18Lotemax Sm$22
See earlier years (2021, 2020, 2019)

2021: $30

Payments by company in 2021
Bausch & Lomb a division of Bausch Health USLotemax Sm$30
2 payments
  • Meals for Lotemax Sm · 2021-12-06 · $18
  • Meals for Lotemax Sm · 2021-11-23 · $12

2020: $183

Payments by company in 2020
CooperVisionMultiple Brands Contact Lens$95
1 payment
  • Meals for Multiple Brands Contact Lens · 2020-01-13 · $95
Johnson & Johnson Vision CareAcuvue$46
1 payment
  • Meals for Acuvue · 2020-02-12 · $46
Alcon VisionAcrysof Iq Panoptix$43
1 payment
  • Meals for Acrysof Iq Panoptix · 2020-01-23 · $43

2019: $145

Payments by company in 2019
Bausch & Lomb a division of Bausch Health USBiotrue$125
1 payment
  • Meals for Biotrue · 2019-10-15 · $125
Visioneering TechnologiesNone$21
1 payment
  • Meals · 2019-07-30 · $21

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1619521259
Licence
CA 34315TLG
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
680 Macon Rd, 129 Medical Group, Mountain View, CA, 94035
NPI first listed
2019-07-31
NPI last updated
2026-08-27
NPI record certified
2026-08-27

This is when the NPI record was last certified, not a medical board exam.