J H Higuchi M.D. P.A.

J H Higuchi M.D. P.A. was paid $379K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 96% of everything it billed.

33Billing provider infoJ H HIGUCHI M.D. P.A.
SAN ANTONIO, TX 78212

33aNPI1336364611assigned 04/13/2007

33bProvider typePulmonary Disease Physician

28Total paid$379K

24GClaims50,387

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#6 of 92

Median peer was paid$8K

This provider vs. median45×

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	6,591	$24K
2019	8,024	$21K
2020	9,293	$34K
2021	7,864	$88K
2022	9,990	$107K
2023	6,771	$77K
2024incomplete	1,854	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	96%	48,705	28,224	$365K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.4%	728	467	$9K
99318		<1%	432	426	$3K
99307		<1%	305	292	$1K
99310	Prolong nursin fac eval 15m	<1%	71	61	$712.54
99305		<1%	61	60	$588.97
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	<1%	85	46	$9.12

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.

From NPPES

Who's on the registration

Authorized officialHIGUCHI, JUNJI (PRESIDENT)