Tsou, Thomas
Tsou, Thomas was paid $337K by Medicaid between Jan 2018 and Dec 2019, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.
33Billing provider infoTSOU, THOMAS
ANAHEIM, CA 92804
ANAHEIM, CA 92804
33aNPI1316981277assigned 06/15/2006
33bProvider typeSpecialist
28Total paid$337K
24GClaims4,611
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Specialist providers in California
Rank by total paid#339 of 1,230
Median peer was paid$51K
This provider vs. median6.6×
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 | 1,552 | $124K | |
| 2019 | 3,059 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 36% | 2,042 | 1,038 | $121K |
| 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 | 31% | 1,291 | 685 | $105K |
| 17004 | 17% | 351 | 312 | $58K | |
| 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 | 12% | 747 | 401 | $42K |
| 99205 | Prolong outpt/office vis | 3.2% | 167 | 113 | $11K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 13 | 13 | $1K |
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.