Kenichi T. Miyata MD INC

Kenichi T. Miyata MD INC was paid $840K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoKENICHI T. MIYATA MD INC
MERCED, CA 95348

33aNPI1598108045assigned 04/15/2013

33bProvider typeSurgery Physician

28Total paid$840K

24GClaims6,960

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#32 of 437

Median peer was paid$23K

This provider vs. median37×

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	887	$98K
2019	991	$99K
2020	1,018	$120K
2021	965	$137K
2022	1,079	$149K
2023	1,119	$128K
2024incomplete	901	$111K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	30%	2,329	2,109	$254K
99244	Office or other outpatient consultation, moderate to high complexity	20%	912	912	$167K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	1,702	1,558	$122K
99243		10%	693	693	$87K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.1%	509	509	$77K
12032		6.7%	469	464	$57K
47562		5.7%	80	79	$48K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.9%	157	157	$16K
12034		<1%	96	95	$8K
49592		<1%	13	13	$4K

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 officialMIYATA, KENICHI (SURGEON)