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

Roberts, J. Romaine

Roberts, J. Romaine was paid $27K by Medicaid between Mar 2019 and Nov 2024, across 7 billing codes. Its largest line is G0181, Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans — 74% of everything it billed.

33Billing provider infoROBERTS, J. ROMAINE
CHICAGO, IL 60642
33aNPI1376528802assigned 12/07/2005
33bProvider typeAnesthesiology Physician
28Total paid$27K
24GClaims2,574
24DCodes billed7
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers

Next to other Anesthesiology Physician providers in Illinois

Rank by total paid#119 of 458
Median peer was paid$9K
This provider vs. median2.9×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2019332$2K
2020818$6K
2021547$8K
2022335$6K
2023356$4K
2024incomplete186$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 74% 1,006 1,006 $20K
99350 Prolong home eval add 15m 16% 1,300 1,251 $4K
99443 3.8% 14 14 $1K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 3.2% 131 131 $858.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 2.3% 36 36 $603.21
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 27 27 $48.00
99497 0% 60 60 $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.