Saito, John

Saito, John was paid $6.52M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 94729, — 17% of everything it billed.

33Billing provider infoSAITO, JOHN
FOUNTAIN VALLEY, CA 92708

33aNPI1851352678assigned 03/31/2006

33bProvider typePulmonary Disease Physician

28Total paid$6.52M

24GClaims141,871

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in California

Rank by total paid#1 of 225

Median peer was paid$53K

This provider vs. median122×

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	16,987	$637K
2019	21,542	$885K
2020	20,638	$902K
2021	23,384	$1.13M
2022	22,617	$1.10M
2023	22,159	$1.04M
2024incomplete	14,544	$829K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
94729		17%	23,774	19,433	$1.14M
94060		11%	19,524	15,053	$748K
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	11%	14,378	11,850	$707K
95810	Polysomnography; sleep staging with 4 or more additional parameters	10%	1,744	1,728	$672K
94727		9.6%	16,620	15,205	$627K
95811		8.4%	1,383	1,371	$545K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.1%	16,718	10,998	$527K
94726		5.5%	8,217	6,600	$357K
93922		4.2%	5,971	5,595	$272K
94375		3.4%	8,216	6,525	$220K
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	2.2%	1,587	1,492	$146K
99354		2.2%	2,827	2,432	$143K

19 more codes

95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.6%	600	$105K
94690		1.1%	7,261	$72K
95923		<1%	1,696	$60K
95922		<1%	1,680	$58K
95012		<1%	4,011	$36K
99205	Prolong outpt/office vis	<1%	223	$25K
94070		<1%	1,635	$17K
99407		<1%	586	$16K
94762		<1%	840	$15K
94760		<1%	740	$6K
99406		<1%	247	$3K
99203	Doctor's office visit, new patient (routine)	<1%	13	$871.14
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	521	$731.69
94664		<1%	394	$360.19
99215	Doctor's office visit, returning patient (complex)	<1%	157	$283.07
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$41.09
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	<1%	189	$14.89
94644		<1%	58	$2.26
94618		0%	47	$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.