IVANA FUKUMOTO, NP-C
5575 S DURANGO DR STE 103, LAS VEGAS, NV 89113
NPI Number
1114234630
Practice location · View on Google Maps
Total Medicaid Payments
$254,041
+313% vs specialty average
Patients Seen
6,546
Total Claims
6,830
$ Per Patient
$39
Specialty avg: $33
Specialty Rank
#13 of 244
Nurse Practitioner, Family providers in Nevada
Peer Average
$61,530
Average total for Nurse Practitioner, Family
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $244,223 | |
| 2019 | $5,138 | |
| 2020 | $4,679 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 1,464 | $76,464 | 30.1% | $52 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 1,021 | $41,771 | 16.4% | $41 |
| 99393 | Wellness checkup — ages 5-11 | 366 | $30,592 | 12.0% | $84 |
| 99391 | Wellness checkup — infant (under 1 year) | 369 | $28,561 | 11.2% | $77 |
| 99392 | Wellness checkup — ages 1-4 | 330 | $27,147 | 10.7% | $82 |
| 99394 | Wellness checkup — ages 12-17 | 212 | $19,481 | 7.7% | $92 |
| 99214 | Office visit for a moderate problem (established patient) | 201 | $14,431 | 5.7% | $72 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 233 | $4,764 | 1.9% | $20 |
| 87880 | Strep throat test (rapid) | 391 | $4,334 | 1.7% | $11 |
| 99212 | Office visit for a minor problem (established patient) | 69 | $2,273 | 0.9% | $33 |
| 99188 | Other medical service | 184 | $2,177 | 0.9% | $12 |
| 87804 | Flu test (rapid) | 56 | $520 | 0.2% | $9 |
| 36416 | Finger or heel stick for blood collection | 178 | $478 | 0.2% | $3 |
| 92551 | Hearing or speech test or therapy | 57 | $273 | 0.1% | $5 |
| 99058 | Special medical service | 13 | $216 | 0.1% | $17 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 39 | $211 | 0.1% | $5 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 94 | $209 | 0.1% | $2 |
| 94760 | Breathing test or lung function test | 48 | $80 | 0.0% | $2 |
| 85018 | Blood cell or clotting test | 27 | $61 | 0.0% | $2 |
| 90680 | Vaccine or immunization | 154 | $0 | 0.0% | $0 |
| 90647 | Haemophilus influenzae type b (Hib) vaccine | 153 | $0 | 0.0% | $0 |
| 90696 | DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio) | 16 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 30 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 88 | $0 | 0.0% | $0 |
| 90723 | DTaP-HepB-IPV combination vaccine | 174 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 276 | $0 | 0.0% | $0 |
| 90688 | Vaccine or immunization | 47 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 142 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 229 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 91 | $0 | 0.0% | $0 |
| 90461 | Additional vaccine given to a child at the same visit | 18 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 60 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.