Shimotakahara, Steven

Shimotakahara, Steven was paid $51K by Medicaid between Jan 2018 and Jan 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoSHIMOTAKAHARA, STEVEN
COOS BAY, OR 97420

33aNPI1326024738assigned 12/16/2005

33bProvider typeOtolaryngology Physician

28Total paid$51K

24GClaims514

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Otolaryngology Physician providers in Oregon

Rank by total paid#10 of 15

Median peer was paid$106K

This provider vs. median0.5×

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	495	$49K
2019	19	$2K

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	36%	263	249	$18K
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	23%	65	64	$12K
31231		17%	40	39	$9K
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	12%	56	55	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.3%	35	34	$4K
31575		3.1%	14	13	$2K
92567		<1%	12	12	$196.80
99024		0%	29	26	$0.00

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.