DJERRICK TAN, M.D.
Diagnostic Radiology Physician · MEQUON, WI
Individual Active NPI 1124002654
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,065 | 7,459 | $815,986 | $117,226 | $87,768 |
| 2023 | 1,967 | 3,677 | $758,104 | $117,957 | $90,360 |
| 2022 | 1,627 | 3,476 | $541,484 | $80,586 | $59,708 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 2,530 | $0 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,130 | $0 | $0 |
| 71045 | X-ray of chest, 1 view | 487 | $8 | $6 |
| 71250 | Ct scan of chest without contrast | 251 | $47 | $34 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 190 | $80 | $59 |
| 70450 | Ct scan head or brain without contrast | 153 | $37 | $28 |
| 71260 | Ct scan of chest with contrast | 116 | $50 | $36 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 110 | $77 | $56 |
| 74018 | X-ray of abdomen, 1 view | 84 | $8 | $6 |
| 71046 | X-ray of chest, 2 views | 72 | $10 | $7 |
| 74183 | Mri scan of abdomen before and after contrast | 58 | $97 | $71 |
| 71275 | Ct scan of blood vessels of chest with contrast | 57 | $79 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | 47802 | WI |
| Diagnostic Radiology Physician | 2085R0202X | 1025471 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD20361 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Diagnostic Radiology Physician providers in Wisconsin
- NPI 1447593165
- NPI 1467443887
- NPI 1154303824
- NPI 1811263304
- NPI 1336226646
- NPI 1043292675
- NPI 1194707968
- NPI 1629442181
See all Diagnostic Radiology Physician providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.