Physician
Ilya M Rachman MD INC
Ilya M Rachman MD INC was paid $74K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoILYA M RACHMAN MD INC
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1538487475assigned 05/15/2010
33bProvider typeInternal Medicine Physician
28Total paid$74K
24GClaims9,014
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#746 of 2,679
Median peer was paid$13K
This provider vs. median5.9×
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 | 1,768 | $12K | |
| 2019 | 2,026 | $18K | |
| 2020 | 1,170 | $14K | |
| 2021 | 896 | $14K | |
| 2022 | 1,169 | $14K | |
| 2023 | 1,163 | $2K | |
| 2024incomplete | 822 | $2K |
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 | 50% | 2,763 | 2,703 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 4,331 | 3,928 | $32K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.3% | 86 | 86 | $2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.0% | 113 | 81 | $760.35 |
| 99497 | 1.0% | 72 | 72 | $743.80 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 26 | 26 | $594.98 |
| 93000 | <1% | 107 | 107 | $447.85 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 37 | 36 | $443.84 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 335 | 316 | $285.45 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | 43 | $200.12 |
| G0008 | Administration of influenza virus vaccine | <1% | 153 | 152 | $105.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 744 | 725 | $71.69 |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialRACHMAN, ILYA (PRESIDENT)