EDWARD TSAI, DO
7377 S JONES BLVD STE 107, LAS VEGAS, NV 89139
NPI Number
1124095195
Practice location · View on Google Maps
Total Medicaid Payments
$425,276
+35% vs specialty average
Patients Seen
6,118
Total Claims
7,710
$ Per Patient
$70
Specialty avg: $54
Specialty Rank
#53 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.3
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $84,353 | |
| 2019 | $69,257 | |
| 2020 | $59,429 | |
| 2021 | $72,035 | |
| 2022 | $68,122 | |
| 2023 | $50,468 | |
| 2024 | $21,614 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 3,351 | $220,311 | 51.8% | $66 |
| 99213 | Office visit for a simple problem (established patient) | 4,202 | $202,751 | 47.7% | $48 |
| 99203 | New patient office visit — moderate problem | 15 | $1,375 | 0.3% | $92 |
| 90471 | Giving a vaccine by injection (shot) | 48 | $525 | 0.1% | $11 |
| 90686 | Vaccine or immunization | 37 | $314 | 0.1% | $8 |
| G0444 | Annual depression screening | 21 | $0 | 0.0% | $0 |
| 3077F | Medical service or procedure | 12 | $0 | 0.0% | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 24 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.