Physician
Jain, Rashmi
Jain, Rashmi was paid $91K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoJAIN, RASHMI
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1336437078assigned 07/15/2011
33bProvider typePediatrics Physician
28Total paid$91K
24GClaims1,913
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in South Dakota
Rank by total paid#6 of 6
Median peer was paid$765K
This provider vs. median0.1×
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 | 679 | $37K | |
| 2019 | 821 | $35K | |
| 2020 | 413 | $19K |
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 | 60% | 707 | 696 | $54K |
| 99205 | Prolong outpt/office vis | 11% | 64 | 64 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.0% | 64 | 64 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.1% | 533 | 527 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.9% | 226 | 216 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 69 | 69 | $4K |
| 84439 | 2.5% | 210 | 205 | $2K | |
| 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 | 2.3% | 16 | 16 | $2K |
| 86800 | <1% | 12 | 12 | $243.25 | |
| 86376 | <1% | 12 | 12 | $222.38 |
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.