Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018220$5K
2019414$8K
2020617$16K
2021739$45K
2022434$20K
2023408$21K
2024incomplete321$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.