Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roger Tsutsumi DPM INC

Roger Tsutsumi DPM INC was paid $81K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoROGER TSUTSUMI DPM INC
RIVERSIDE, CA 92504
33aNPI1861819476assigned 03/20/2014
28Total paid$81K
24GClaims9,705
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in California

Rank by total paid#117 of 384
Median peer was paid$24K
This provider vs. median3.4×

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$5.0K$10K2018201920202021202220232024
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
2018184$919.48
2019227$608.28
2020993$15K
20211,037$19K
2022530$6K
20231,209$5K
2024incomplete5,525$34K
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 29% 1,708 1,548 $24K
73630 16% 2,154 1,083 $13K
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% 1,270 1,248 $9K
93970 9.8% 230 229 $8K
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 9.2% 133 133 $7K
11721 7.8% 997 989 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3.3% 165 161 $3K
11306 2.3% 638 632 $2K
11750 2.1% 60 34 $2K
Q4037 Cast supplies, short leg cast, adult (11 years +), plaster 1.7% 219 217 $1K
97597 1.6% 374 373 $1K
11305 1.4% 130 130 $1K
10 more codes
93922 1.1% 217 $871.56
G0127 Trimming of dystrophic nails, any number <1% 220 $765.43
11055 <1% 61 $475.36
29580 <1% 213 $470.95
11720 <1% 263 $419.90
11730 <1% 126 $205.89
11765 <1% 207 $180.13
29540 <1% 215 $170.38
76882 <1% 69 $23.27
11732 <1% 36 $7.10

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 officialTSUTSUMI, ROGER (OWNER)