Tapia, Gerardo
Tapia, Gerardo was paid $294K by Medicaid between Jan 2018 and Nov 2022, across 5 billing codes. Its largest line is 90838, — 53% of everything it billed.
33Billing provider infoTAPIA, GERARDO
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1487797171assigned 02/14/2007
33bProvider typeSpecialist
28Total paid$294K
24GClaims4,600
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#312 of 1,221
Median peer was paid$45K
This provider vs. median6.5×
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 | 1,310 | $92K | |
| 2019 | 998 | $66K | |
| 2020 | 822 | $48K | |
| 2021 | 856 | $51K | |
| 2022 | 614 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90838 | 53% | 1,948 | 1,869 | $156K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,949 | 1,869 | $99K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 619 | 603 | $36K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 70 | 67 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | 14 | $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.