Jacoub, Jack

Jacoub, Jack was paid $21K by Medicaid between Jan 2018 and Jan 2021, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoJACOUB, JACK
FOUNTAIN VALLEY, CA 92708

33aNPI1528016318assigned 05/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$21K

24GClaims6,910

24DCodes billed19

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#1,179 of 2,679

Median peer was paid$13K

This provider vs. median1.6×

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	5,886	$11K
2019	758	$5K
2020	250	$5K
2021	16	$234.00

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	65%	1,398	1,225	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	209	182	$2K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	9.3%	363	219	$2K
96367		6.7%	174	108	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.5%	387	227	$717.51
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.5%	307	94	$714.03
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%	16	14	$190.48
36415	Collection of venous blood by venipuncture	<1%	128	93	$59.47
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,134	973	$0.66
1123F		<1%	493	463	$0.60
1036F		<1%	421	419	$0.56
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	<1%	765	686	$0.54

7 more codes

G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	278	$0.45
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	155	$0.39
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	210	$0.31
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	92	$0.24
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	<1%	282	$0.17
G8783	Normal blood pressure reading documented, follow-up not required	<1%	40	$0.05
99223	Prolong inpt eval add15 m	0%	58	$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.