Medicaid Provider Spending

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

JACK F JACOUB MD INC

NPI: 1619208279 · FOUNTAIN VALLEY, CA 92708 · 207RH0003X

$17K
Total Medicaid Paid
3,651
Total Claims
3,079
Beneficiaries
21
Codes Billed
2019-01
First Month
2021-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,562 $620.00
2020 2,041 $14K
2021 48 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q5106 Inj retacrit non-esrd use 104 39 $9K
99443 121 114 $4K
96372 592 303 $2K
99214 736 652 $1K
99213 55 53 $98.81
99223 Prolong inpt eval add15 m 52 51 $52.92
96413 19 12 $6.07
G8427 Docrev cur meds by elig clin 561 513 $0.02
G8731 Pain neg no plan 249 237 $0.02
1036F 113 112 $0.01
G8950 Pre-htn or htn doc, f/u indc 147 144 $0.00
G9903 Pt scrn tbco id as non user 118 117 $0.00
1123F 197 193 $0.00
G8420 Calc bmi norm parameters 111 110 $0.00
G8510 Scr dep neg, no plan reqd 79 79 $0.00
99232 71 32 $0.00
G8783 Bp scrn perf rec interval 40 40 $0.00
G8482 Flu immunize order/admin 85 85 $0.00
G8730 Pain doc pos and plan 82 75 $0.00
G8417 Calc bmi abv up param f/u 46 45 $0.00
4040F 73 73 $0.00