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

Tsuji, Miles

Tsuji, Miles was paid $154K by Medicaid between Jan 2018 and Jun 2019, across 5 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 58% of everything it billed.

33Billing provider infoTSUJI, MILES
MILWAUKEE, WI 53210
33aNPI1578532776assigned 03/17/2006
28Total paid$154K
24GClaims1,322
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Wisconsin

Rank by total paid#7 of 19
Median peer was paid$112K
This provider vs. median1.4×

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$10K$20K2018201920202021202220232024
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
20181,043$124K
2019279$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99479 Subsequent intensive care, per day, very low birth weight infant 58% 791 350 $90K
99480 Subsequent intensive care, per day, low birth weight infant 28% 399 183 $43K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 9.9% 46 27 $15K
99460 2.5% 30 30 $4K
99238 Hospital discharge day management, 30 minutes or less 1.4% 56 56 $2K

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.