Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Wellesley › NPI 1619396900
Physician

Tanaka, Kumiko

Tanaka, Kumiko was paid $10K by Medicaid between Sep 2021 and Jun 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoTANAKA, KUMIKO
WELLESLEY, MA 02481
33aNPI1619396900assigned 04/15/2014
28Total paid$10K
24GClaims167
24DCodes billed2
24AFirst – last monthSep 2021 – Jun 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#96 of 216
Median peer was paid$7K
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$500$1.0K$1.5K2018201920202021202220232024
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
202161$3K
202267$4K
202326$2K
2024incomplete13$921.97
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 98 95 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 69 69 $3K

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.