Physician
Matsuura, Peter
Matsuura, Peter was paid $326K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoMATSUURA, PETER
HILO, HI 96720
HILO, HI 96720
33aNPI1053368373assigned 05/30/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$326K
24GClaims6,444
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Hawaii
Rank by total paid#2 of 15
Median peer was paid$8K
This provider vs. median42×
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 | 814 | $26K | |
| 2019 | 1,092 | $29K | |
| 2020 | 1,020 | $38K | |
| 2021 | 816 | $47K | |
| 2022 | 976 | $59K | |
| 2023 | 993 | $67K | |
| 2024incomplete | 733 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 3,302 | 2,833 | $201K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 16% | 407 | 381 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 468 | 398 | $22K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.6% | 257 | 215 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 707 | 564 | $17K |
| 99243 | 2.6% | 101 | 95 | $8K | |
| 73110 | <1% | 136 | 110 | $3K | |
| 73560 | <1% | 64 | 52 | $1K | |
| 99406 | <1% | 130 | 108 | $1K | |
| 73030 | <1% | 29 | 24 | $532.50 | |
| 73564 | <1% | 14 | 12 | $439.34 | |
| 99072 | <1% | 244 | 207 | $254.50 |
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.