Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rao, Rumya

Rao, Rumya was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 62% of everything it billed.

33Billing provider infoRAO, RUMYA
NILES, IL 60714
33aNPI1073657474assigned 02/18/2007
33bProvider typeOphthalmology Physician
28Total paid$2.05M
24GClaims28,323
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#7 of 431
Median peer was paid$34K
This provider vs. median60×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,425$62K
20194,369$309K
20204,570$356K
20215,321$385K
20225,329$399K
20234,499$313K
2024incomplete2,810$223K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 62% 1,243 948 $1.27M
67028 Intravitreal injection of a pharmacologic agent 21% 2,665 2,114 $440K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6.2% 4,420 3,786 $126K
92134 5.2% 6,088 5,191 $107K
J9035 Injection, bevacizumab, 10 mg 1.5% 513 349 $31K
92201 1.4% 3,136 2,741 $28K
92226 1.2% 1,247 672 $25K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 232 212 $11K
92250 <1% 298 273 $9K
92225 <1% 118 66 $3K
2022F <1% 852 626 $0.09
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 1,631 1,182 $0.04
8 more codes
G8482 Influenza immunization administered or previously received 0% 392 $0.00
2021F 0% 650 $0.00
4040F 0% 1,316 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 279 $0.00
5010F 0% 652 $0.00
1036F 0% 1,470 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 652 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 469 $0.00

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.