RICARDO ANTONIO TAN MD INC.
NPI: 1881082683
· SHERMAN OAKS, CA 91411
· Allergy & Immunology (Internal Medicine) Physician
· NPI assigned 12/31/2014
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | TAN, RICARDP (OWNER) |
| NPI Enumeration Date | 12/31/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
170 |
$14K |
| 2022 |
607 |
$57K |
| 2023 |
637 |
$38K |
| 2024 |
569 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
597 |
597 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
976 |
811 |
$50K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
304 |
250 |
$25K |
| 95117 |
|
106 |
36 |
$207.63 |