Birbal Jain, Heena

Birbal Jain, Heena was paid $179K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoBIRBAL JAIN, HEENA
CHAMPAIGN, IL 61822

33aNPI1255694675assigned 06/20/2012

33bProvider typeRheumatology Physician

28Total paid$179K

24GClaims3,730

24DCodes billed5

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#7 of 140

Median peer was paid$20K

This provider vs. median8.9×

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	51	$3K
2019	377	$17K
2020	580	$28K
2021	523	$30K
2022	624	$31K
2023	728	$32K
2024incomplete	847	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	71%	3,046	2,786	$128K
99244	Office or other outpatient consultation, moderate to high complexity	27%	423	407	$48K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	30	25	$2K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	187	171	$1K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	44	32	$485.18

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.