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 · Hematology & Oncology Physician · NPI assigned 01/21/2010

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

Provider Details

Authorized OfficialJACOUB, JACK (PRESIDENT AND CEO)
NPI Enumeration Date01/21/2010

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 104 39 $9K
99443 121 114 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 592 303 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 736 652 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55 53 $98.81
99223 Prolong inpt eval add15 m 52 51 $52.92
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 19 12 $6.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 561 513 $0.02
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 249 237 $0.02
1036F 113 112 $0.01
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 147 144 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 118 117 $0.00
1123F 197 193 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 111 110 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 79 79 $0.00
99232 Subsequent hospital care, per day, moderate complexity 71 32 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 40 40 $0.00
G8482 Influenza immunization administered or previously received 85 85 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 82 75 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 46 45 $0.00
4040F 73 73 $0.00