Sato, Sam

Sato, Sam was paid $990K by Medicaid between Jan 2018 and Jul 2021, across 9 billing codes. Its largest line is 92060, — 32% of everything it billed.

33Billing provider infoSATO, SAM
TUCSON, AZ 85719

33aNPI1831196427assigned 06/28/2005

33bProvider typeOphthalmology Physician

28Total paid$990K

24GClaims21,265

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#12 of 78

Median peer was paid$44K

This provider vs. median23×

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	10,522	$466K
2019	10,679	$521K
2021	64	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		32%	7,329	7,011	$318K
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	23%	3,523	3,377	$229K
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	17%	1,634	1,583	$170K
92015	Determination of refractive state	13%	5,368	5,140	$130K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	2,743	2,552	$123K
92285		<1%	462	437	$10K
92250		<1%	179	172	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	12	12	$1K
92226		<1%	15	13	$182.90

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.