Physician
Tan, Edgardo
Tan, Edgardo was paid $2.71M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 79% of everything it billed.
33Billing provider infoTAN, EDGARDO
ELIZABETH, NJ 07206
ELIZABETH, NJ 07206
33aNPI1356402952assigned 12/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.71M
24GClaims61,596
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New Jersey
Rank by total paid#6 of 56
Median peer was paid$178K
This provider vs. median15×
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 | 4,936 | $39K | |
| 2019 | 4,591 | $40K | |
| 2020 | 4,664 | $31K | |
| 2021 | 6,932 | $135K | |
| 2022 | 9,535 | $377K | |
| 2023 | 14,180 | $810K | |
| 2024incomplete | 16,758 | $1.28M |
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 | 79% | 20,901 | 9,215 | $2.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 3,728 | 3,654 | $140K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 2,781 | 2,723 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 3,112 | 3,011 | $101K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 4,048 | 3,993 | $52K |
| 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 | 1.9% | 3,361 | 3,231 | $51K |
| 99205 | Prolong outpt/office vis | 1.4% | 276 | 276 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 891 | 863 | $30K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,173 | 1,944 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 952 | 927 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,889 | 1,832 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 73 | 73 | $5K |
24 more codes
| 99383 | <1% | 43 | $2K | |
| 90461 | <1% | 366 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 636 | $1K |
| 99384 | <1% | 12 | $830.52 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 294 | $526.80 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 977 | $375.00 |
| 97803 | <1% | 10,237 | $73.48 | |
| 90686 | <1% | 458 | $71.47 | |
| 90656 | <1% | 228 | $39.03 | |
| 90671 | <1% | 61 | $15.04 | |
| 90715 | <1% | 137 | $6.01 | |
| 90734 | <1% | 131 | $6.01 | |
| 90707 | <1% | 38 | $2.00 | |
| 90696 | <1% | 15 | $0.01 | |
| 90710 | <1% | 34 | $0.01 | |
| 97802 | 0% | 3,264 | $0.00 | |
| 87430 | 0% | 134 | $0.00 | |
| 85027 | 0% | 13 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90700 | 0% | 127 | $0.00 | |
| 90713 | 0% | 76 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| 83655 | 0% | 42 | $0.00 | |
| 90670 | 0% | 58 | $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.