Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Yamashita, Paul

Yamashita, Paul was paid $33K by Medicaid between Oct 2018 and Sep 2023, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoYAMASHITA, PAUL
KINGSBURG, CA 93631
33aNPI1912069691assigned 12/15/2006
33bProvider typeOptometrist
28Total paid$33K
24GClaims3,226
24DCodes billed5
24AFirst – last monthOct 2018 – Sep 2023
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#843 of 1,899
Median peer was paid$23K
This provider vs. median1.4×

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$1.0K$2.0K2018201920202021202220232024
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
2018157$2K
2019598$5K
2020848$9K
2021767$8K
2022586$6K
2023270$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 755 755 $12K
V2020 Frames, purchases 27% 1,137 1,137 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 22% 912 910 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10% 176 176 $3K
92015 Determination of refractive state 3.6% 246 246 $1K

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.