Physician
Jiro Saegusa MD INC
Jiro Saegusa MD INC was paid $27K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 44% of everything it billed.
33Billing provider infoJIRO SAEGUSA MD INC
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1407819238assigned 04/11/2006
33bProvider typePediatrics Physician
28Total paid$27K
24GClaims10,194
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#34 of 76
Median peer was paid$21K
This provider vs. median1.3×
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 | 2,381 | $113.51 | |
| 2019 | 2,027 | $228.93 | |
| 2020 | 1,086 | $4K | |
| 2021 | 1,144 | $2K | |
| 2022 | 1,195 | $1K | |
| 2023 | 1,229 | $4K | |
| 2024incomplete | 1,132 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 44% | 301 | 299 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 42% | 1,476 | 1,455 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.4% | 444 | 435 | $2K |
| 90461 | 3.2% | 363 | 355 | $848.34 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 3,095 | 2,766 | $435.72 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 722 | 706 | $321.78 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 446 | 444 | $120.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 590 | 582 | $0.00 |
| 86580 | 0% | 30 | 29 | $0.00 | |
| 96127 | 0% | 123 | 121 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 144 | 143 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 156 | 154 | $0.00 |
6 more codes
| S9999 | Sales tax | 0% | 19 | $0.00 |
| 99173 | 0% | 2,079 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 99072 | 0% | 84 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 68 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 41 | $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.
From NPPES
Who's on the registration
Authorized officialSAEGUSA, JIRO (PRESIDENT)