Physician
Sugiguchi, Fumitaka
Sugiguchi, Fumitaka was paid $165K by Medicaid between Oct 2023 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSUGIGUCHI, FUMITAKA
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1790245421assigned 03/20/2019
33bProvider typePediatrics Physician
28Total paid$165K
24GClaims2,720
24DCodes billed7
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#165 of 306
Median peer was paid$206K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 502 | $27K | |
| 2024incomplete | 2,218 | $138K |
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 | 47% | 916 | 854 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 652 | 619 | $38K |
| 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 | 15% | 287 | 275 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.0% | 257 | 237 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.1% | 577 | 529 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | 16 | $348.32 |
| 96127 | <1% | 15 | 15 | $219.00 |
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.