TON-THAT, CHAU
NPI: 1205902301
· WESTMINSTER, CA 92683
· Psychiatry Physician
· NPI assigned 11/28/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 99213 with only 2 total codes billed. Highly concentrated billing profile.
$1.83M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,270 |
$250K |
| 2019 |
7,278 |
$350K |
| 2020 |
4,546 |
$288K |
| 2021 |
5,482 |
$339K |
| 2022 |
5,838 |
$350K |
| 2023 |
3,975 |
$252K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,976 |
25,945 |
$1.77M |
| 99205 |
Prolong outpt/office vis |
413 |
343 |
$55K |