Tsou, Robert

Tsou, Robert was paid $420K by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 79% of everything it billed.

33Billing provider infoTSOU, ROBERT
APPLE VALLEY, CA 92307

33aNPI1801999107assigned 09/06/2006

33bProvider typeOtolaryngology Physician

28Total paid$420K

24GClaims3,853

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#40 of 168

Median peer was paid$67K

This provider vs. median6.2×

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	907	$102K
2019	795	$85K
2020	610	$64K
2021	507	$58K
2022	460	$54K
2023	574	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	79%	2,849	2,838	$331K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	977	940	$82K
42820	Tonsillectomy and adenoidectomy; younger than age 12	1.8%	27	27	$8K

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.