Physician
Tandon, Smita
Tandon, Smita was paid $2.26M by Medicaid between Jan 2018 and Nov 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoTANDON, SMITA
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1205835634assigned 07/18/2005
33bProvider typePediatrics Physician
28Total paid$2.26M
24GClaims88,677
24DCodes billed67
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#65 of 1,490
Median peer was paid$15K
This provider vs. median151×
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 | 10,882 | $283K | |
| 2019 | 14,638 | $394K | |
| 2020 | 10,221 | $344K | |
| 2021 | 13,694 | $449K | |
| 2022 | 13,133 | $460K | |
| 2023 | 14,370 | $275K | |
| 2024incomplete | 11,739 | $55K |
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 | 19% | 13,683 | 12,218 | $436K |
| 96156 | 12% | 4,812 | 4,767 | $266K | |
| 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 | 8.9% | 5,143 | 4,768 | $202K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.2% | 2,534 | 2,448 | $140K |
| 96167 | 5.8% | 3,575 | 3,539 | $130K | |
| 96158 | 5.1% | 4,043 | 4,007 | $115K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,554 | 1,542 | $86K |
| 97803 | 3.7% | 5,282 | 5,252 | $84K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 1,754 | 1,739 | $77K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.3% | 5,514 | 5,490 | $75K |
| G9920 | Screening performed and negative | 3.0% | 3,513 | 3,501 | $68K |
| 97802 | 2.9% | 1,962 | 1,882 | $67K |
55 more codes
| 96154 | 2.7% | 3,870 | $62K | |
| 99215 | Doctor's office visit, returning patient (complex) | 2.6% | 1,060 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 1,321 | $54K |
| 92551 | 2.1% | 4,559 | $48K | |
| 96150 | 1.5% | 1,489 | $34K | |
| 96151 | 1.2% | 1,201 | $27K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.0% | 1,972 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 576 | $23K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 936 | $20K |
| 80061 | Lipid panel | <1% | 1,963 | $19K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,216 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 236 | $18K |
| 90686 | <1% | 1,973 | $15K | |
| 96152 | <1% | 631 | $11K | |
| 96127 | <1% | 2,570 | $10K | |
| 99401 | <1% | 462 | $8K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 353 | $6K |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 264 | $5K |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 266 | $5K |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 263 | $5K |
| 99177 | <1% | 491 | $5K | |
| 90651 | <1% | 578 | $4K | |
| 81000 | <1% | 1,203 | $3K | |
| 90670 | <1% | 357 | $3K | |
| 90656 | <1% | 412 | $3K | |
| 90734 | <1% | 274 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 482 | $2K |
| 85018 | <1% | 1,176 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 283 | $2K |
| 99415 | Prolong outpt/office vis | <1% | 151 | $2K |
| 90621 | <1% | 252 | $2K | |
| 99173 | <1% | 1,036 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 90698 | <1% | 191 | $1K | |
| 90671 | <1% | 116 | $1K | |
| H0049 | Alcohol and/or drug screening | <1% | 93 | $1K |
| 90700 | <1% | 116 | $837.00 | |
| 90680 | <1% | 105 | $819.00 | |
| 92552 | <1% | 87 | $758.31 | |
| 90716 | <1% | 81 | $630.00 | |
| 90480 | <1% | 15 | $600.00 | |
| 0072A | <1% | 19 | $570.00 | |
| 0071A | <1% | 18 | $550.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | $523.35 |
| 90707 | <1% | 56 | $495.00 | |
| 90633 | <1% | 70 | $495.00 | |
| 90658 | <1% | 39 | $351.00 | |
| 85999 | <1% | 115 | $346.15 | |
| 90619 | <1% | 119 | $333.00 | |
| 90715 | <1% | 33 | $292.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $262.22 |
| 90744 | <1% | 40 | $171.00 | |
| 81002 | <1% | 17 | $144.99 | |
| 90655 | <1% | 12 | $108.00 | |
| 90677 | <1% | 41 | $63.00 |
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.