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

Pih Health Physicians

Pih Health Physicians was paid $8.78M by Medicaid between Jan 2018 and Nov 2024, across 133 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoPIH HEALTH PHYSICIANS
WHITTIER, CA 90606
33aNPI1720232465assigned 11/07/2008
33bProvider typeAnesthesiology Physician
28Total paid$8.78M
24GClaims322,033
24DCodes billed133
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anesthesiology Physician providers in California

Rank by total paid#7 of 415
Median peer was paid$17K
This provider vs. median502×

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$200K$400K2018201920202021202220232024
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
20183,590$80K
201917,226$469K
202022,316$641K
202151,527$1.47M
202277,782$1.83M
202379,310$2.63M
2024incomplete70,282$1.67M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 68,971 67,255 $2.82M
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 12% 23,372 22,903 $1.03M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.2% 20,958 7,546 $724K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5.4% 51,259 42,687 $476K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 7,875 7,853 $419K
99222 Initial hospital care, per day, moderate complexity 4.6% 6,233 5,729 $405K
99223 Prolong inpt eval add15 m 4.5% 5,334 5,024 $392K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.3% 8,363 3,273 $378K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.9% 6,305 6,176 $339K
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 2.4% 2,934 2,925 $212K
99238 Hospital discharge day management, 30 minutes or less 1.9% 5,487 5,307 $171K
99239 Hospital discharge day management, more than 30 minutes 1.5% 2,759 2,615 $134K
121 more codes
77067 Screening mammography, bilateral, including computer-aided detection 1.1% 1,062 $96K
99050 1.1% 41,185 $95K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.0% 1,141 $90K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,843 $72K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 1,228 $62K
87428 <1% 2,934 $56K
59425 <1% 985 $55K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 758 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,305 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,093 $40K
71046 Radiologic examination, chest; 2 views <1% 1,469 $37K
93970 <1% 878 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 574 $29K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 187 $28K
99215 Doctor's office visit, returning patient (complex) <1% 317 $28K
93000 <1% 1,592 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,001 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 347 $24K
99442 <1% 1,416 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 228 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 585 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,695 $23K
72100 <1% 654 $20K
99051 <1% 6,471 $19K
99441 <1% 2,623 $17K
99221 <1% 503 $17K
99460 <1% 415 $16K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 42 $15K
73630 <1% 778 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 169 $13K
73030 <1% 468 $11K
95816 <1% 308 $11K
99205 Prolong outpt/office vis <1% 82 $9K
73562 <1% 432 $9K
73130 <1% 412 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,020 $8K
76641 <1% 89 $8K
93971 <1% 682 $8K
76536 <1% 113 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 112 $7K
81002 <1% 6,951 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 741 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $6K
77063 Screening digital breast tomosynthesis, bilateral <1% 325 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $4K
92504 <1% 435 $4K
93295 <1% 151 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 309 $4K
36415 Collection of venous blood by venipuncture <1% 5,227 $4K
90686 <1% 1,118 $4K
77080 <1% 301 $4K
69210 <1% 212 $3K
81025 <1% 528 $3K
57454 <1% 55 $3K
73560 <1% 171 $3K
73610 <1% 108 $3K
92551 <1% 1,522 $3K
76830 Ultrasound, transvaginal <1% 50 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 333 $2K
99283 Emergency room visit (moderate) <1% 57 $2K
72040 <1% 66 $2K
76775 <1% 28 $1K
73502 <1% 37 $1K
95819 <1% 55 $1K
99243 <1% 17 $1K
59430 <1% 18 $1K
73110 <1% 34 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 30 $1K
99292 <1% 17 $1K
99284 Emergency room visit (serious) <1% 16 $986.73
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 22 $985.25
90670 <1% 187 $877.29
93016 <1% 43 $870.53
95117 <1% 1,208 $754.07
31231 <1% 39 $737.10
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 $732.60
11750 <1% 17 $715.19
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 340 $704.55
74018 <1% 28 $665.01
93297 <1% 70 $641.50
81000 <1% 76 $635.09
93296 <1% 27 $574.68
20610 <1% 35 $548.95
92557 <1% 28 $531.75
73565 <1% 26 $502.96
99173 <1% 1,519 $489.61
93018 <1% 43 $402.44
85018 <1% 633 $340.37
93880 <1% 12 $330.29
46600 <1% 12 $294.79
82962 <1% 814 $260.65
99443 <1% 45 $251.82
95115 <1% 34 $238.40
72072 <1% 12 $237.39
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 100 $222.29
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 13 $217.50
90648 <1% 107 $216.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 98 $162.71
93290 <1% 12 $137.83
90633 <1% 65 $90.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 26 $32.40
92567 <1% 15 $23.20
94010 <1% 13 $14.76
90680 <1% 12 $9.00
87807 <1% 15 $8.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 43 $3.49
1159F 0% 16 $0.00
1003F 0% 16 $0.00
1160F 0% 16 $0.00
90734 0% 27 $0.00
1090F 0% 16 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 0% 25 $0.00
90715 0% 16 $0.00
3078F 0% 13 $0.00
1158F 0% 15 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 14 $0.00
3074F 0% 13 $0.00
1126F 0% 12 $0.00
1170F 0% 16 $0.00
1101F 0% 16 $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 officialMIYAMOTO, KEITH (PRESIDENT)
Same official

Other billing entities under MIYAMOTO, KEITH

Full network →
ProviderLocationPaid
Pih Health PhysiciansWhittier, CA$1.56M
Pih Health PhysiciansWhittier, CA$869.97

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.