Higa, Brian
Higa, Brian was paid $580K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 16% of everything it billed.
33Billing provider infoHIGA, BRIAN
HEMET, CA 92543
HEMET, CA 92543
33aNPI1295885804assigned 01/12/2007
33bProvider typeOptometrist
28Total paid$580K
24GClaims25,190
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#126 of 1,899
Median peer was paid$23K
This provider vs. median26×
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 | 3,106 | $71K | |
| 2019 | 4,535 | $105K | |
| 2020 | 2,373 | $55K | |
| 2021 | 1,116 | $24K | |
| 2022 | 2,459 | $56K | |
| 2023 | 5,904 | $136K | |
| 2024incomplete | 5,697 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 2,945 | 2,910 | $95K |
| V2020 | Frames, purchases | 16% | 4,919 | 4,849 | $91K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 4,086 | 3,983 | $84K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,975 | 1,963 | $80K |
| 92250 | 9.6% | 1,534 | 1,503 | $55K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 2,338 | 2,078 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 836 | 822 | $41K |
| 92015 | Determination of refractive state | 7.0% | 5,141 | 5,076 | $41K |
| 92341 | 3.8% | 755 | 751 | $22K | |
| 92225 | 1.6% | 204 | 201 | $9K | |
| V2744 | Tint, photochromatic, per lens | <1% | 175 | 171 | $6K |
| 92134 | <1% | 133 | 132 | $3K |
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.