Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hirose, Keiko

Hirose, Keiko was paid $13K by Medicaid between Apr 2018 and Oct 2019, across 3 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 42% of everything it billed.

33Billing provider infoHIROSE, KEIKO
SAINT LOUIS, MO 63110
33aNPI1376506287assigned 04/11/2006
28Total paid$13K
24GClaims151
24DCodes billed3
24AFirst – last monthApr 2018 – Oct 2019
Compared with peers

Next to other Pediatric Otolaryngology Physician providers in Missouri

Rank by total paid#13 of 19
Median peer was paid$75K
This provider vs. median0.2×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201869$8K
201982$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 42% 28 28 $5K
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 32% 57 57 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 66 65 $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.