Physician
Marcos Hiroshi Ikeda PA
Marcos Hiroshi Ikeda PA was paid $688K by Medicaid between Jan 2018 and Aug 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoMARCOS HIROSHI IKEDA PA
HOUSTON, TX 77076
HOUSTON, TX 77076
33aNPI1811385081assigned 12/22/2014
33bProvider typeObstetrics Physician
28Total paid$688K
24GClaims29,001
24DCodes billed25
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#7 of 33
Median peer was paid$106K
This provider vs. median6.5×
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 | 1,459 | $16K | |
| 2019 | 2,239 | $30K | |
| 2020 | 4,551 | $121K | |
| 2021 | 16,154 | $414K | |
| 2022 | 4,482 | $106K | |
| 2023 | 116 | $294.04 |
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 | 27% | 5,513 | 3,538 | $187K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 21% | 256 | 248 | $143K |
| 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 | 7.2% | 1,093 | 833 | $49K |
| 36410 | 5.6% | 3,123 | 2,741 | $39K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.3% | 509 | 476 | $37K |
| 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 | 5.3% | 459 | 454 | $36K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.5% | 318 | 307 | $31K |
| 59430 | 4.5% | 358 | 344 | $31K | |
| 59514 | 3.2% | 33 | 32 | $22K | |
| 99000 | 3.1% | 2,168 | 2,117 | $21K | |
| 76801 | 2.3% | 176 | 169 | $16K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.8% | 154 | 142 | $12K |
13 more codes
| 76830 | Ultrasound, transvaginal | 1.6% | 130 | $11K |
| 81001 | 1.5% | 7,833 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 149 | $8K |
| 99205 | Prolong outpt/office vis | 1.2% | 83 | $8K |
| 81025 | 1.0% | 2,678 | $7K | |
| 87653 | 1.0% | 371 | $7K | |
| 87070 | <1% | 2,117 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $2K |
| 82950 | <1% | 453 | $1K | |
| 99385 | <1% | 14 | $811.83 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $672.39 |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | <1% | 886 | $157.50 |
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 officialIKEDA, MARCOS (OWNER)