Guadalupe Medical Center/Okamoto MD PC

Guadalupe Medical Center/Okamoto MD PC was paid $4.06M by Medicaid between Jan 2018 and Jul 2023, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoGUADALUPE MEDICAL CENTER/OKAMOTO MD PC
LAS VEGAS, NV 89104

33aNPI1598703506assigned 06/02/2006

33bProvider typeGeneral Practice Physician

28Total paid$4.06M

24GClaims314,873

24DCodes billed62

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other General Practice Physician providers in Nevada

Rank by total paid#2 of 54

Median peer was paid$135K

This provider vs. median30×

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	17,065	$274K
2019	63,217	$1.17M
2020	73,475	$863K
2021	75,087	$863K
2022	61,811	$663K
2023	24,218	$225K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	44,090	36,460	$2.48M
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	8.3%	5,408	4,117	$335K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.9%	3,149	2,979	$281K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.4%	1,298	1,258	$138K
90460	Immunization administration through 18 years of age via any route, first or only component	3.0%	3,220	3,001	$122K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	2.9%	2,322	2,195	$120K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.0%	726	712	$82K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.6%	610	601	$66K
93000		1.5%	5,164	4,723	$60K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.3%	2,461	2,055	$51K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.1%	468	447	$45K
99058		1.0%	2,455	2,299	$43K

50 more codes

81002		<1%	30,757	$40K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	1,089	$32K
92551		<1%	4,427	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	587	$20K
71046	Radiologic examination, chest; 2 views	<1%	892	$19K
82962		<1%	15,220	$14K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	656	$11K
94010		<1%	391	$11K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	57	$7K
81025		<1%	1,452	$7K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	501	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	326	$5K
3044F		<1%	4,474	$4K
99384		<1%	32	$3K
3074F		<1%	33,349	$3K
3046F		<1%	763	$3K
3079F		<1%	23,306	$2K
99385		<1%	13	$2K
99383		<1%	12	$1K
76770		<1%	14	$1K
1055F		<1%	5,581	$992.95
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	288	$992.59
3078F		<1%	15,775	$963.38
72100		<1%	27	$854.52
3008F		<1%	30,817	$848.62
90670		<1%	235	$846.11
90658		<1%	1,315	$734.76
3045F		<1%	386	$680.00
3051F		<1%	770	$612.00
90715		<1%	253	$490.73
3075F		<1%	4,413	$455.00
90734		<1%	383	$428.64
99499		<1%	47,702	$387.44
74018		<1%	15	$362.31
90649		<1%	466	$343.37
S9451	Exercise classes, non-physician provider, per session	<1%	2,490	$279.78
3080F		<1%	4,262	$244.96
90620		<1%	190	$244.68
90472	Immunization administration, each additional vaccine (list separately)	<1%	27	$231.21
S9452	Nutrition classes, non-physician provider, per session	<1%	2,343	$218.84
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	25	$196.32
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	265	$151.33
3052F		<1%	342	$151.00
3077F		<1%	5,483	$115.01
J0690	Injection, cefazolin sodium, 500 mg	<1%	21	$67.65
90636		<1%	15	$66.73
99070		<1%	48	$50.00
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	<1%	1,057	$23.99
91301		<1%	116	$0.07
99000		0%	74	$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 officialALDANA, SANDRA (ADMINISTRATOR)