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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenichi Miyata
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    Kenichi Miyata — Billing Profile & Reimbursement Data

    NPI 1376687772 · Merced, CA · Surgery Physician

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    Kenichi Miyata is a surgery physician provider located in Merced, California. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenichi Miyata
    Address3393 G St
    CityMerced
    StateCA
    ZIP95340
    TaxonomySurgery Physician
    NPI EnumeratedFebruary 18, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$57.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…100$120$11.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…120$100$11.9K
    49507In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia…20$450$10.3K
    64772The provider severs or removes other spinal nerves that are not identified in other codes within CPT®.30$230$5.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…70$70$4.6K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.40$100$3.9K
    55520In this procedure, the provider removes diseased or damaged tissue from the spermatic cord in the scrotum, the pouch that holds the testicles, to relieve pain or discomfort and or to restore…20$180$3.3K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.40$80$3.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…40$70$2.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921418,52037,970120$90$23.2K
    9921319,26834,66080$70$13.2K
    4950741010$570$10.3K
    1203218857030$230$9.4K
    992042,94119,36040$120$7.2K
    6477241020$260$7K
    5552061020$280$5.4K
    992035,64812,74030$80$4.6K
    1203425020$200$4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Golden Valley Health CenterCAFederally Qualified Health Center (FQHC)$0$79.8M
    Golden Valley Health CenterCAFederally Qualified Health Center (FQHC)$0$49.1M
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M
    Golden Valley Health CenterCAFederally Qualified Health Center (FQHC)$0$23.4M
    Vikram LakireddyCACardiovascular Disease Physician$4.8M$0
    Ritesh PatelILInternal Medicine Physician$255.6K$2.2M
    Roozbeh MohajerCAHematology & Oncology Physician$1.7M$0
    Travers McloughlinCARadiation Oncology Physician$1.6M$0
    Zachary CooperCADermatology Physician$1.1M$0
    Anne LuhanCASurgery Physician$923.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthCAGeneral Acute Care Hospital$0$106.5M
    San Joaquin Emergency Medical AssociatesCAEmergency Medicine Physician$0$29.8M
    Merced Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$2.8M$4.1M
    Steven HansenCADiagnostic Radiology Physician$1.2M$0
    David PilkingtonCADermatology Physician$755.2K$440
    Sunit PatelCASpecialist$618.4K$0
    Mario SablanCAOrthopaedic Surgery Physician$617.2K$0
    Timothy JohnstonCAFamily Medicine Physician$605.7K$0
    Aegis Treatment Centers, LLCCAMethadone Clinic$588.6K$2.3K
    James RabagoCAFamily Medicine Physician$197K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Kenichi Miyata — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California