Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oceanside › NPI 1013004852
Physician

Yamanaka, Mark

Yamanaka, Mark was paid $87K by Medicaid between Dec 2018 and Mar 2022, across 2 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.

33Billing provider infoYAMANAKA, MARK
OCEANSIDE, CA 92056
33aNPI1013004852assigned 10/05/2006
28Total paid$87K
24GClaims881
24DCodes billed2
24AFirst – last monthDec 2018 – Mar 2022
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in California

Rank by total paid#52 of 136
Median peer was paid$38K
This provider vs. median2.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201861$7K
2019151$13K
202065$3K
2021356$34K
2022248$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 100% 843 164 $87K
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 <1% 38 37 $312.50

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.