Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Munster › NPI 1427028968
Physician

Yao, Jim

Yao, Jim was paid $96K by Medicaid between Feb 2018 and Aug 2024, across 5 billing codes. Its largest line is 90966, — 51% of everything it billed.

33Billing provider infoYAO, JIM
MUNSTER, IN 46321
33aNPI1427028968assigned 01/26/2006
33bProvider typeNephrology Physician
28Total paid$96K
24GClaims1,993
24DCodes billed5
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers

Next to other Nephrology Physician providers in Indiana

Rank by total paid#23 of 44
Median peer was paid$96K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
201865$5K
2019162$6K
2020892$27K
2021430$13K
2022283$26K
2023108$11K
2024incomplete53$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90966 51% 459 447 $49K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 36% 608 585 $35K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 9.8% 471 122 $9K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.4% 422 103 $2K
99223 Prolong inpt eval add15 m <1% 33 27 $916.16

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.