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RAFAEL OKAMOTO, M.D.

Internal Medicine · LAS VEGAS, NV

1219 E. CHARLESTON BLVD, LAS VEGAS, NV 89104

NPI Number
1235281874
Street View of 1219 E. CHARLESTON BLVD, LAS VEGAS, NV 89104

Practice location · View on Google Maps

Total Medicaid Payments
$762,266
+68% vs specialty average
Patients Seen
30,864
Total Claims
34,075
$ Per Patient
$25
Specialty avg: $55
Specialty Rank
#50 of 446
Internal Medicine providers in Nevada
Peer Average
$452,600
Average total for Internal Medicine
Claims per Patient
1.1
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$759,487
2019$2,779

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
99213Office visit for a simple problem (established patient)5,928$402,571
52.8%
$68
G0439Annual wellness visit — follow-up1,111$71,258
9.3%
$64
99203New patient office visit — moderate problem554$55,476
7.3%
$100
99394Wellness checkup — ages 12-17448$49,360
6.5%
$110
90460Giving a vaccine to a child, including talking with the family about it652$25,893
3.4%
$40
99393Wellness checkup — ages 5-11239$24,348
3.2%
$102
99058Special medical service888$15,192
2.0%
$17
99214Office visit for a moderate problem (established patient)155$14,963
2.0%
$97
96372IV infusion or injection of medication551$14,597
1.9%
$26
G0101Cervical or vaginal cancer screening — pelvic and breast exam464$14,192
1.9%
$31
92551Hearing or speech test or therapy1,482$11,633
1.5%
$8
81002Urinalysis — quick dipstick test4,700$10,573
1.4%
$2
93000Heart monitoring test (ECG/EKG)588$8,364
1.1%
$14
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory406$6,639
0.9%
$16
76700Ultrasound of the abdomen (complete)39$5,823
0.8%
$149
J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)189$5,415
0.7%
$29
71046Chest X-ray (two views — front and side)175$4,920
0.6%
$28
99384Wellness checkup — new patient, ages 12-1733$4,176
0.5%
$127
99395Wellness checkup — ages 18-3927$2,904
0.4%
$108
82962Blood chemistry test (checking specific substances in your blood)1,518$2,648
0.3%
$2
81025Pregnancy test (urine)389$2,362
0.3%
$6
94010Breathing test or lung function test75$2,254
0.3%
$30
93306Heart ultrasound (echocardiogram)12$2,239
0.3%
$187
99383Wellness checkup — new patient, ages 5-1113$1,535
0.2%
$118
72100X-ray of the lower spine (lumbar)28$1,066
0.1%
$38
74018X-ray of the abdomen (single view)35$811
0.1%
$23
J1885Injection, ketorolac tromethamine, per 15 mg141$638
0.1%
$5
J0690Injection, cefazolin sodium, 500 mg54$340
0.0%
$6
J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)187$75
0.0%
$0
90649Vaccine or immunization87$0
0.0%
$0
3075FMedical service or procedure688$0
0.0%
$0
S9451Exercise classes, non-physician provider, per session119$0
0.0%
$0
3074FMedical service or procedure4,088$0
0.0%
$0
90734Meningitis vaccine31$0
0.0%
$0
3079FMedical service or procedure2,618$0
0.0%
$0
3077FMedical service or procedure896$0
0.0%
$0
3078FMedical service or procedure2,266$0
0.0%
$0
90658Vaccine or immunization126$0
0.0%
$0
3044FMedical service or procedure69$0
0.0%
$0
1055FMedical service or procedure1,188$0
0.0%
$0
99000Special medical service32$0
0.0%
$0
3080FMedical service or procedure786$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.