Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Junji Higuchi (NPI 1285742056)

Field	Value
Entity Type	Individual
Organization	Junji Higuchi
Address	1200 Brooklyn Ave Ste 380
City	San Antonio
State	TX
ZIP	78212
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicare	$208.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,610	$50	$195K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	200	$30	$6.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	50	$100	$4.7K
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	20	$30	$670

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Junji Higuchi — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	22	1,600	170	$50	$23.8K
99307	112	450	80	$30	$7.4K
99305	252	610	40	$100	$6.9K
G0406	10	20	20	$30	$860

Related Providers

Other providers that share a Tax Identification Number (TIN) with Junji Higuchi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jose Sablan	TX	Nurse Practitioner	$22.3K	$0

Nearby Providers

Other providers in the same ZIP code as Junji Higuchi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A & Amazing Home Care LLC	TX	Personal Care Attendant	$0	$51.8M
Home Caring LLC	TX	Home Health Agency	$0	$18.3M
Kim Ross	TX	Dermatology Physician	$1.5M	$2K
William English	TX	Vascular Surgery Physician	$1.4M	$0
Oday Alsheikh	TX	Ophthalmology Physician	$1M	$0
The Ocular Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$713.6K	$0
Christopher Graham	TX	Urology Physician	$432K	$0
Robert Magnon	TX	Dermatology Physician	$407.4K	$370
Jesus Matos	TX	Vascular Surgery Physician	$379.2K	$0
Noah Greene	TX	Cardiovascular Disease Physician	$360.3K	$0

Junji Higuchi — Billing Profile & Reimbursement Data

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Junji Higuchi — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References