Tan, Marissa

Tan, Marissa was paid $4K by Medicaid between Aug 2023 and May 2024, across 3 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 83% of everything it billed.

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
2023	13	$538.74
2024incomplete	26	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	83%	12	12	$3K
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	13%	13	13	$538.74
80305		3.9%	14	14	$158.73

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.