Jain, Sachin

Jain, Sachin was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 36% of everything it billed.

33Billing provider infoJAIN, SACHIN
WAUKEGAN, IL 60085

33aNPI1326292228assigned 11/05/2008

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.85M

24GClaims45,949

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#30 of 129

Median peer was paid$547K

This provider vs. median3.4×

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	4,639	$80K
2019	8,114	$193K
2020	6,561	$218K
2021	5,356	$224K
2022	6,380	$280K
2023	6,845	$357K
2024incomplete	8,054	$497K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	36%	16,214	6,173	$664K
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	18%	5,269	4,110	$325K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	8,334	2,861	$252K
99308	Subsequent nursing facility care, per day, straightforward	10%	7,614	6,290	$193K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.8%	2,383	2,005	$106K
99223	Prolong inpt eval add15 m	5.3%	1,311	1,226	$97K
99239	Hospital discharge day management, more than 30 minutes	4.2%	2,251	2,012	$77K
99306	Prolong nursin fac eval 15m	2.3%	931	783	$43K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.3%	404	329	$42K
99305		1.7%	425	406	$31K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	108	100	$7K
99220		<1%	51	47	$4K

16 more codes

99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	13	$1K
99310	Prolong nursin fac eval 15m	<1%	36	$961.50
99490	Ccm add 20min	<1%	191	$946.12
99215	Doctor's office visit, returning patient (complex)	<1%	13	$837.68
99232	Hospital visit by a doctor, follow-up day	<1%	81	$672.30
80053	Comprehensive metabolic panel	<1%	78	$621.04
84443	Thyroid stimulating hormone (TSH)	<1%	32	$410.50
82607		<1%	23	$264.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$174.52
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	36	$149.24
80061	Lipid panel	<1%	25	$143.06
80050	General health panel	<1%	25	$127.80
83036	Hemoglobin; glycosylated (A1C)	<1%	22	$113.40
84436		<1%	14	$73.56
36415	Collection of venous blood by venipuncture	<1%	36	$14.50
84478		<1%	14	$10.80

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.