Physician
Tuan Nguyen, M.D., INC
Tuan Nguyen, M.D., INC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 35% of everything it billed.
33Billing provider infoTUAN NGUYEN, M.D., INC
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
33aNPI1154569986assigned 02/02/2009
33bProvider typeGastroenterology Physician
28Total paid$1.22M
24GClaims24,240
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#44 of 363
Median peer was paid$55K
This provider vs. median22×
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 | 4,634 | $308K | |
| 2019 | 4,233 | $269K | |
| 2020 | 3,875 | $136K | |
| 2021 | 4,484 | $167K | |
| 2022 | 3,770 | $155K | |
| 2023 | 2,718 | $135K | |
| 2024incomplete | 526 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 35% | 1,578 | 1,570 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 8,242 | 7,914 | $184K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 2,981 | 2,808 | $166K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.3% | 324 | 323 | $101K |
| 99205 | Prolong outpt/office vis | 6.6% | 867 | 853 | $81K |
| 43235 | 3.9% | 308 | 305 | $47K | |
| 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 | 3.8% | 1,457 | 1,422 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 716 | 714 | $39K |
| 91200 | 2.9% | 1,260 | 1,238 | $36K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 637 | 637 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 212 | 211 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 858 | 849 | $15K |
18 more codes
| 76981 | <1% | 134 | $9K | |
| 99000 | <1% | 2,127 | $8K | |
| 99152 | <1% | 283 | $5K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $3K |
| 90686 | <1% | 78 | $2K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 246 | $666.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $550.69 |
| 90662 | <1% | 15 | $223.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $132.00 |
| 99153 | Mod sedat endo service >5yrs | <1% | 28 | $131.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 135 | $60.99 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 232 | $0.12 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 115 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 814 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 400 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 54 | $0.00 |
| 1124F | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialNGUYEN, TUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Golden Hearts Care LLC | Kansas City, MO | $4.28M |
| Kidz Cardiology, INC | Wichita, KS | $1.96M |
| Oc Cardiovascular Care, INC. | Fountain Valley, CA | $1.87M |
| Tuan H. Nguyen, D.D.S., INC. | Stockton, CA | $1.46M |
| Tuan D Nguyen, DDS, INC | Rancho Cucamonga, CA | $363K |
| Tuan Duc Nguyen Chiropractic INC. | Garden Grove, CA | $277K |
| Hitech Dental Houston PLLC | Houston, TX | $11K |
| STDK Medical INC. | San Jose, CA | $3K |
| Sparkle Dental Center | Dallas, TX | $970.09 |
| Tuan Nguyen, DDS, PC | Fairfax, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.