Physician
Jack F Jacoub MD INC
Jack F Jacoub MD INC was paid $17K by Medicaid between Jan 2019 and Jan 2021, across 21 billing codes. Its largest line is Q5106, Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units — 52% of everything it billed.
33Billing provider infoJACK F JACOUB MD INC
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1619208279assigned 01/21/2010
33bProvider typeHematology & Oncology Physician
28Total paid$17K
24GClaims3,651
24DCodes billed21
24AFirst – last monthJan 2019 – Jan 2021
Compared with peers
Next to other Hematology & Oncology Physician providers in California
Rank by total paid#104 of 180
Median peer was paid$26K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 1,562 | $620.00 | |
| 2020 | 2,041 | $14K | |
| 2021 | 48 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5106 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units | 52% | 104 | 39 | $9K |
| 99443 | 26% | 121 | 114 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 14% | 592 | 303 | $2K |
| 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 | 7.7% | 736 | 652 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 55 | 53 | $98.81 |
| 99223 | Prolong inpt eval add15 m | <1% | 52 | 51 | $52.92 |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 19 | 12 | $6.07 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 561 | 513 | $0.02 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 249 | 237 | $0.02 |
| 1036F | <1% | 113 | 112 | $0.01 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 147 | 144 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 118 | 117 | $0.00 |
9 more codes
| 1123F | 0% | 197 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 111 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 79 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 71 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 40 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 85 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 82 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 46 | $0.00 |
| 4040F | 0% | 73 | $0.00 |
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 officialJACOUB, JACK (PRESIDENT AND CEO)