Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACOUB, JACK

NPI: 1528016318 · FOUNTAIN VALLEY, CA 92708 · Internal Medicine Physician · NPI assigned 05/04/2006

$21K
Total Medicaid Paid
6,910
Total Claims
5,781
Beneficiaries
19
Codes Billed
2018-01
First Month
2021-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,886 $11K
2019 758 $5K
2020 250 $5K
2021 16 $234.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,398 1,225 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 209 182 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 363 219 $2K
96367 174 108 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 387 227 $717.51
99232 Subsequent hospital care, per day, moderate complexity 307 94 $714.03
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $190.48
36415 Collection of venous blood by venipuncture 128 93 $59.47
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,134 973 $0.66
1123F 493 463 $0.60
1036F 421 419 $0.56
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 765 686 $0.54
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 278 276 $0.45
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 155 152 $0.39
G8420 Bmi is documented within normal parameters and no follow-up plan is required 210 210 $0.31
G8510 Screening for depression is documented as negative, a follow-up plan is not required 92 92 $0.24
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 282 252 $0.17
G8783 Normal blood pressure reading documented, follow-up not required 40 39 $0.05
99223 Prolong inpt eval add15 m 58 57 $0.00