Physician
Lu, Jim
Lu, Jim was paid $584K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is U0004, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r — 84% of everything it billed.
33Billing provider infoLU, JIM
BUFFALO GROVE, IL 60089
BUFFALO GROVE, IL 60089
33aNPI1073590337assigned 12/28/2005
33bProvider typeAnatomic Pathology Physician
28Total paid$584K
24GClaims11,454
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology Physician providers in Illinois
Rank by total paid#8 of 38
Median peer was paid$56K
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 730 | $23K | |
| 2019 | 196 | $9K | |
| 2020 | 1,400 | $129K | |
| 2021 | 5,617 | $286K | |
| 2022 | 3,261 | $125K | |
| 2023 | 143 | $5K | |
| 2024incomplete | 107 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 84% | 7,579 | 2,872 | $493K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 5.9% | 1,783 | 988 | $34K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.8% | 714 | 670 | $34K |
| 88313 | <1% | 118 | 111 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 470 | 380 | $5K |
| 88312 | <1% | 182 | 175 | $5K | |
| 88342 | <1% | 137 | 129 | $3K | |
| 88304 | <1% | 97 | 97 | $2K | |
| 88307 | <1% | 50 | 50 | $981.00 | |
| 86328 | <1% | 312 | 257 | $494.23 | |
| 88311 | <1% | 12 | 12 | $74.75 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.