Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Monterey Park › NPI 1467644997
Physician

Joseph T. Fan, M.D.Inc

Joseph T. Fan, M.D.Inc was paid $855K by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.

33Billing provider infoJOSEPH T. FAN, M.D.INC
MONTEREY PARK, CA 91754
33aNPI1467644997assigned 08/17/2007
33bProvider typeOphthalmology Physician
28Total paid$855K
24GClaims42,184
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#92 of 759
Median peer was paid$35K
This provider vs. median24×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,823$194K
20197,678$242K
20204,596$98K
20215,614$143K
20226,841$97K
20238,249$73K
2024incomplete383$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 7,876 7,859 $231K
67028 Intravitreal injection of a pharmacologic agent 15% 4,126 4,006 $126K
92134 14% 8,421 8,344 $121K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 2,969 2,900 $112K
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 8.5% 1,440 1,437 $73K
J9035 Injection, bevacizumab, 10 mg 6.7% 3,283 3,177 $57K
92250 5.3% 4,464 4,302 $45K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.7% 1,784 1,776 $40K
J0178 Injection, aflibercept, 1 mg 1.9% 40 40 $16K
92235 1.7% 2,419 2,417 $14K
92226 1.1% 1,755 1,112 $9K
67228 <1% 104 102 $5K
24 more codes
92020 <1% 318 $2K
76512 <1% 216 $2K
92202 <1% 1,219 $863.84
99203 Doctor's office visit, new patient (routine) <1% 14 $361.66
92225 <1% 40 $177.27
92201 <1% 102 $114.08
2022F 0% 84 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 168 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 74 $0.00
2026F 0% 80 $0.00
2027F 0% 34 $0.00
5010F 0% 39 $0.00
2024F 0% 84 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 253 $0.00
0517F 0% 34 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 43 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 169 $0.00
4177F 0% 143 $0.00
1036F 0% 245 $0.00
99024 0% 52 $0.00
3072F 0% 17 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 39 $0.00
3284F 0% 18 $0.00
3285F 0% 18 $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 officialFAN, JOSEPH (OWNER)