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NPI 1851352678 · Fountain Valley, CA · Pediatric Pulmonology Physician
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John Saito is a pediatric pulmonology physician provider located in Fountain Valley, California. This profile covers 22 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Saito |
| Address | 17150 Euclid St |
| City | Fountain Valley |
| State | CA |
| ZIP | 92708 |
| Taxonomy | Pediatric Pulmonology Physician |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.5M |
| Medicare | $468.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 620 | $110 | $64.9K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 380 | $110 | $40.9K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 760 | $50 | $38.6K |
| 94690 | The provider collects the patient’s expired air in a laboratory setting and analyzes the data to assess the patient’s respiratory status. He may run the test to evaluate a patient with bronchial… | 850 | $40 | $37.3K |
| 95922 | In this procedure, the provider tests the sympathetic function of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic nervous system is that part of… | 380 | $90 | $32.9K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 60 | $590 | $32.2K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 400 | $80 | $30.1K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 50 | $540 | $27.1K |
| 99213 | The 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… | 340 | $80 | $26.2K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 470 | $50 | $23.1K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95811 | 93 | 240 | 40 | $420 | $28.3K |
| 95810 | 100 | 250 | 40 | $390 | $25.5K |
| 99214 | 3,785 | 37,970 | 120 | $90 | $23.2K |
| 95922 | 1 | 10 | 130 | $90 | $16.8K |
| 99215 | 4,933 | 15,360 | 50 | $130 | $14.4K |
| 94070 | 5 | 10 | 270 | $50 | $13.8K |
| 95923 | 8 | 140 | 50 | $110 | $13.2K |
| 99213 | 5,314 | 34,660 | 80 | $70 | $13.2K |
| 94690 | 1 | 10 | 30 | $40 | $8.4K |
| 99205 | 2,065 | 8,360 | 30 | $170 | $7.2K |
Showing 1–10 of 22
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 23,770 | $50 | $1.1M |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 19,520 | $40 | $741.9K |
| 99214 | The 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… | 14,380 | $50 | $704.5K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 1,740 | $390 | $671.4K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 16,620 | $40 | $631.6K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 1,380 | $390 | $544.9K |
| 99213 | The 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… | 16,720 | $30 | $535K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 8,220 | $40 | $353.3K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 5,970 | $50 | $274.7K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 8,220 | $30 | $221.8K |
Showing 1–10 of 31
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 226 | 340 | 340 | $300 | $846K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 42 | 230 | 310 | $280 | $247.2K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 29 | 210 | 190 | $290 | $193.5K |
| 99214 | The 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… | 933 | 13,300 | 640 | $40 | $169.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 2,349 | 4,230 | 210 | $110 | $135K |
| 99213 | The 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… | 1,424 | 14,520 | 760 | $10 | $122.8K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 71 | 210 | 230 | $110 | $112.7K |
| 99204 | The 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… | 864 | 5,870 | 180 | $70 | $73K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 713 | 1,980 | 110 | $160 | $66.3K |
| 99203 | The 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… | 5,122 | 5,590 | 180 | $50 | $62.4K |
Showing 1–10 of 31
Other providers in the same ZIP code as John Saito, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lab Genomics, LLC | CA | Clinical Medical Laboratory | $292.5K | $11M |
| Chih-tao Hou | CA | Family Nurse Practitioner | $3.8M | $0 |
| Chiwai Chan | CA | Interventional Pain Medicine Physician | $857.1K | $2.3M |
| Orange County Diagnostic Radiology, Inc. | CA | Specialist | $1.2M | $1.6M |
| Tien Nguyen | CA | Dermatology Physician | $447.5K | $2.2M |
| Abdulkareem Sharaf | CA | Cardiovascular Disease Physician | $1.2M | $1.2M |
| Son Duong | CA | Vascular Surgery Physician | $1.2M | $1.1M |
| Steven Le | CA | Cardiovascular Disease Physician | $1.2M | $584.3K |
| Medizen Advanced Imaging Inc | CA | Diagnostic Ultrasound Physician | $465.2K | $1.3M |
| Harpreet Singh | CA | Specialist | $903.2K | $728.8K |
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