Physician
Jacob, Raji
Jacob, Raji was paid $127K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 34% of everything it billed.
33Billing provider infoJACOB, RAJI
PEORIA, IL 61603
PEORIA, IL 61603
33aNPI1538325477assigned 07/30/2008
33bProvider typeNephrology Physician
28Total paid$127K
24GClaims3,153
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#90 of 327
Median peer was paid$68K
This provider vs. median1.9×
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
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 | 220 | $5K | |
| 2019 | 414 | $8K | |
| 2020 | 617 | $16K | |
| 2021 | 739 | $45K | |
| 2022 | 434 | $20K | |
| 2023 | 408 | $21K | |
| 2024incomplete | 321 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 34% | 356 | 325 | $43K |
| 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 | 30% | 1,157 | 1,064 | $38K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 1,091 | 410 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.8% | 489 | 212 | $11K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 60 | 60 | $259.25 |
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.