Tam, Anthony
Tam, Anthony was paid $721K by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoTAM, ANTHONY
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1053687491assigned 03/29/2012
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$721K
24GClaims69,328
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#20 of 2,013
Median peer was paid$4K
This provider vs. median195×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,976 | $76K | |
| 2019 | 8,516 | $157K | |
| 2020 | 4,356 | $73K | |
| 2021 | 11,782 | $93K | |
| 2022 | 10,881 | $90K | |
| 2023 | 14,121 | $108K | |
| 2024incomplete | 15,696 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 9,914 | 8,600 | $363K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 5,630 | 4,990 | $259K |
| 93000 | 2.9% | 2,890 | 2,863 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 620 | 591 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 102 | 102 | $12K |
| 99490 | Ccm add 20min | 1.1% | 484 | 484 | $8K |
| 96127 | <1% | 1,326 | 1,316 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 440 | 438 | $6K |
| 93922 | <1% | 192 | 158 | $5K | |
| 90674 | <1% | 430 | 430 | $5K | |
| 99397 | <1% | 1,504 | 1,503 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 826 | 819 | $3K |
66 more codes
| 99441 | <1% | 72 | $3K | |
| 90756 | <1% | 247 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,149 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 334 | $1K |
| 0012A | <1% | 35 | $1K | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 281 | $1K |
| 99439 | <1% | 24 | $560.49 | |
| H0001 | Alcohol and/or drug assessment | <1% | 26 | $514.45 |
| 99406 | <1% | 91 | $418.94 | |
| 0011A | <1% | 12 | $334.04 | |
| 3074F | <1% | 3,325 | $278.50 | |
| 3078F | <1% | 4,830 | $264.50 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 890 | $252.50 |
| 99401 | <1% | 14 | $186.15 | |
| 3079F | <1% | 1,427 | $96.50 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,189 | $92.50 |
| 90686 | <1% | 12 | $89.44 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 76 | $85.22 |
| 99051 | <1% | 466 | $83.84 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 40 | $69.50 |
| 90653 | <1% | 13 | $59.53 | |
| 3077F | <1% | 1,720 | $57.50 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,662 | $53.00 |
| 96160 | <1% | 44 | $52.28 | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,289 | $21.61 |
| 3075F | <1% | 1,485 | $20.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 34 | $13.00 |
| G8482 | Influenza immunization administered or previously received | <1% | 198 | $12.60 |
| 90694 | <1% | 586 | $11.30 | |
| 3050F | <1% | 54 | $9.00 | |
| 3008F | <1% | 3,268 | $0.08 | |
| 3725F | 0% | 339 | $0.00 | |
| 1160F | 0% | 1,361 | $0.00 | |
| 3051F | 0% | 60 | $0.00 | |
| 1159F | 0% | 1,229 | $0.00 | |
| 99071 | 0% | 143 | $0.00 | |
| 97803 | 0% | 282 | $0.00 | |
| 90662 | 0% | 301 | $0.00 | |
| 1158F | 0% | 146 | $0.00 | |
| 4013F | 0% | 237 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 450 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 434 | $0.00 |
| 99072 | 0% | 126 | $0.00 | |
| 3016F | 0% | 54 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 69 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 17 | $0.00 |
| 3044F | 0% | 612 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 214 | $0.00 |
| 1000F | 0% | 267 | $0.00 | |
| 3048F | 0% | 612 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 130 | $0.00 |
| 4037F | 0% | 465 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 119 | $0.00 |
| 3049F | 0% | 330 | $0.00 | |
| 2000F | 0% | 5,277 | $0.00 | |
| 4010F | 0% | 61 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 220 | $0.00 |
| 3017F | 0% | 45 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 466 | $0.00 |
| 3080F | 0% | 113 | $0.00 | |
| 1036F | 0% | 248 | $0.00 | |
| 1126F | 0% | 221 | $0.00 | |
| 1170F | 0% | 375 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 28 | $0.00 |
| 90656 | 0% | 13 | $0.00 | |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.