Physician
Hirata, Susan
Hirata, Susan was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 18% of everything it billed.
33Billing provider infoHIRATA, SUSAN
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
33aNPI1548424583assigned 07/17/2008
33bProvider typePediatrics Physician
28Total paid$1.22M
24GClaims29,841
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#46 of 267
Median peer was paid$116K
This provider vs. median11×
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 | 8,383 | $335K | |
| 2019 | 3,698 | $184K | |
| 2020 | 4,141 | $168K | |
| 2021 | 5,499 | $226K | |
| 2022 | 3,104 | $115K | |
| 2023 | 2,559 | $92K | |
| 2024incomplete | 2,457 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 4,779 | 4,739 | $214K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 2,248 | 2,081 | $213K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,072 | 2,884 | $206K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 2,034 | 2,009 | $205K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 1,067 | 1,057 | $107K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.8% | 2,393 | 2,302 | $95K |
| 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 | 4.2% | 527 | 504 | $52K |
| Q3014 | Telehealth originating site facility fee | 3.0% | 1,609 | 1,547 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 238 | 237 | $26K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.6% | 963 | 954 | $20K |
| 99188 | 1.1% | 1,225 | 1,211 | $14K | |
| 92567 | <1% | 636 | 599 | $8K |
40 more codes
| 99070 | <1% | 576 | $5K | |
| 99401 | <1% | 784 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 58 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 343 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | $2K |
| 96127 | <1% | 351 | $2K | |
| 99177 | <1% | 718 | $2K | |
| 90686 | <1% | 1,225 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 172 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 62 | $996.13 |
| 94780 | <1% | 12 | $531.64 | |
| 90680 | <1% | 823 | $364.46 | |
| 36416 | <1% | 55 | $225.54 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $170.45 |
| 87275 | <1% | 12 | $98.16 | |
| 87276 | <1% | 12 | $98.16 | |
| 90647 | <1% | 186 | $88.88 | |
| 94664 | <1% | 13 | $15.43 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13 | $14.82 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 13 | $10.14 |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | <1% | 13 | $6.66 |
| 90677 | <1% | 133 | $1.32 | |
| 90700 | 0% | 106 | $0.00 | |
| 90648 | 0% | 16 | $0.00 | |
| 90670 | 0% | 1,365 | $0.00 | |
| 90710 | 0% | 297 | $0.00 | |
| 90633 | 0% | 497 | $0.00 | |
| 90734 | 0% | 37 | $0.00 | |
| 90685 | 0% | 96 | $0.00 | |
| 90681 | 0% | 16 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 87400 | 0% | 12 | $0.00 | |
| 90698 | 0% | 545 | $0.00 | |
| 90723 | 0% | 82 | $0.00 | |
| 90744 | 0% | 103 | $0.00 | |
| 90696 | 0% | 28 | $0.00 | |
| 99000 | 0% | 82 | $0.00 | |
| 91307 | 0% | 34 | $0.00 | |
| 90651 | 0% | 14 | $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.