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

Iriye Medical Group PLLC

Iriye Medical Group PLLC was paid $11.88M by Medicaid between Nov 2018 and Dec 2024, across 44 billing codes. Its largest line is 76818, — 34% of everything it billed.

33Billing provider infoIRIYE MEDICAL GROUP PLLC
LAS VEGAS, NV 89106
33aNPI1467496240assigned 06/15/2006
28Total paid$11.88M
24GClaims122,392
24DCodes billed44
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Nevada

Rank by total paid#2 of 20
Median peer was paid$114K
This provider vs. median104×

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$100K$200K$300K2018201920202021202220232024
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
20181,495$53K
201931,848$1.87M
202019,619$1.98M
202126,147$2.46M
202219,337$2.54M
202316,883$2.18M
2024incomplete7,063$799K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76818 34% 31,727 21,001 $4.07M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21% 20,877 19,040 $2.46M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 15% 10,135 9,613 $1.83M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 11% 13,895 12,312 $1.27M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.2% 5,138 4,906 $617K
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 4.6% 4,977 4,513 $544K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 6,576 5,949 $413K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.1% 3,054 2,315 $127K
59025 Fetal non-stress test <1% 5,256 3,506 $115K
76820 <1% 1,270 846 $61K
76825 <1% 257 243 $50K
76801 <1% 495 462 $49K
32 more codes
99232 Hospital visit by a doctor, follow-up day <1% 792 $38K
H0049 Alcohol and/or drug screening <1% 3,908 $35K
76813 <1% 383 $35K
99205 Prolong outpt/office vis <1% 140 $32K
99203 Doctor's office visit, new patient (routine) <1% 240 $27K
76830 Ultrasound, transvaginal <1% 131 $19K
76821 <1% 315 $15K
76827 <1% 298 $15K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 111 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 76 $10K
99204 Doctor's office visit, new patient (more involved) <1% 51 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 70 $5K
93325 <1% 363 $5K
99385 <1% 26 $4K
99215 Doctor's office visit, returning patient (complex) <1% 25 $4K
99241 <1% 365 $4K
99459 <1% 114 $2K
81025 <1% 204 $881.04
99401 <1% 25 $763.87
99243 <1% 12 $737.16
99201 <1% 15 $716.24
99245 <1% 17 $664.65
99242 <1% 12 $360.12
96127 <1% 84 $329.11
0500F <1% 17 $250.00
81003 <1% 182 $152.95
96160 <1% 38 $151.03
1036F 0% 319 $0.00
99000 0% 402 $0.00
1031F 0% 38 $0.00
99072 0% 9,364 $0.00
3725F 0% 598 $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 officialMANDUJANO, KIM (ADMINISTRATIVE ASSISTANT)
Parent organizationIRIYE MEDICAL GROUP PLLC
Same official

Other billing entities under MANDUJANO, KIM

Full network →
ProviderLocationPaid
Iriye Medical Group PLLCReno, NV$112K
Iriye Medical Group PLLCLas Vegas, NV$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.