Mai Le, PHYSICIAN ASSISTANT
Case Manager/Care Coordinator in Pomona, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 160,120 in Case Manager/Care Coordinator, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Mai Le, PHYSICIAN ASSISTANT reported a CMS MIPS final score of 46.9/100 - below the 83.1 national average - and filed 94 Medicare Part D claims in 2023.
- 46.9/100
- MIPS score · -36 vs avg
- 94
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
Mai Le, PHYSICIAN ASSISTANT's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
47 4th percentile higher than 4% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mai Le, PHYSICIAN ASSISTANT sits
This provider among case manager/care coordinator peers
Across the 16 case manager/care coordinator providers who report both Medicare Part D prescribing and a MIPS quality score, Mai Le, PHYSICIAN ASSISTANT writes more Part D claims than 19% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one case manager/care coordinator peer from a representative sample of 15; the gold marker is Mai Le, PHYSICIAN ASSISTANT. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Mai Le, PHYSICIAN ASSISTANT?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in California
How Case Manager/Care Coordinator compares to other specialties among California providers
Largest specialties in California (% of in-state providers)
Case Manager/Care Coordinator ranks #8 among California's specialties (2.8% of in-state providers)
Each bar is a specialty's share of the California provider total, by primary NUCC taxonomy. The highlighted bar is Case Manager/Care Coordinator; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance — MIPS
Mai Le, PHYSICIAN ASSISTANT's 2023 MIPS final score plotted against the Case Manager/Care Coordinator national average
- MIPS Final Score
- 46.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Case Manager/Care Coordinator) — 46.9/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Case Manager/Care Coordinator US NPIs
46.9/100 MIPS final score - 36.2 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Case Manager/Care Coordinator. Quality dim: 53.7. Cost dim: 19.3.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Mai Le, PHYSICIAN ASSISTANT appears in the CMS NPPES registry as a Case Manager/Care Coordinator provider holding PHYSICIAN ASSISTANT credentials at 2909 LANCER AVE, Pomona, CA, 91768, with a listed phone of (760) 818-5461. NPI 1518099969 was issued on 03/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Le most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 94 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 46.9/100 for the 2023 performance year (Quality 53.7, Cost 19.3), compared with the national average of 83.1.
Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,120 enrolled providers across 54 states and an average of 859 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1518099969 |
|---|---|
| Specialty | Case Manager/Care Coordinator |
| Credentials | PHYSICIAN ASSISTANT |
| Gender | Female |
| NPI Issued | 03/12/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Mai Le, PHYSICIAN ASSISTANT's current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
License & disciplinary context — California MBC 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to Mai Le, PHYSICIAN ASSISTANT. To verify Mai Le, PHYSICIAN ASSISTANT's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 94
- Total Day Supply
- 1,787
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 25
Patient Demographics
- Average Patient Age
- 75.5 years
- Avg HCC Risk Score
- 4.33
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Mupirocin | 36 |
| Gentamicin Sulfate | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Case Manager/Care Coordinator Overview
How Mai Le, PHYSICIAN ASSISTANT fits within the Case Manager/Care Coordinator landscape nationally.
Mai Le, PHYSICIAN ASSISTANT's 94 claims are below the specialty average of 859.
Nearby Case Manager/Care Coordinator Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Le.
Compare Case Manager/Care Coordinator nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Case Manager/Care Coordinator peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology