Tsutsumi, Roger
Tsutsumi, Roger was paid $92K by Medicaid between Jan 2018 and Nov 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoTSUTSUMI, ROGER
RIVERSIDE, CA 92504
RIVERSIDE, CA 92504
33aNPI1104816230assigned 10/28/2005
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$92K
24GClaims12,770
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in California
Rank by total paid#110 of 384
Median peer was paid$24K
This provider vs. median3.8×
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 | 1,836 | $27K | |
| 2019 | 2,780 | $22K | |
| 2020 | 1,603 | $8K | |
| 2021 | 680 | $6K | |
| 2022 | 576 | $5K | |
| 2023 | 5,295 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,767 | 2,557 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 312 | 307 | $13K |
| 73630 | 9.8% | 2,537 | 1,284 | $9K | |
| 11750 | 9.7% | 246 | 146 | $9K | |
| 93970 | 7.3% | 352 | 345 | $7K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 6.7% | 565 | 535 | $6K |
| 11721 | 5.2% | 997 | 991 | $5K | |
| 11765 | 3.0% | 1,393 | 548 | $3K | |
| 11730 | 2.3% | 494 | 491 | $2K | |
| 11055 | 1.8% | 293 | 287 | $2K | |
| 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 | 1.7% | 30 | 30 | $2K |
| 93922 | 1.4% | 356 | 344 | $1K |
10 more codes
| 97597 | 1.4% | 423 | $1K | |
| 11732 | 1.0% | 815 | $954.18 | |
| 11720 | <1% | 461 | $732.99 | |
| 11305 | <1% | 102 | $437.74 | |
| Q4037 | Cast supplies, short leg cast, adult (11 years +), plaster | <1% | 119 | $331.54 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 82 | $264.61 |
| 76881 | <1% | 62 | $252.38 | |
| 11306 | <1% | 181 | $192.61 | |
| 29580 | <1% | 116 | $82.96 | |
| 29540 | <1% | 67 | $29.33 |
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.