Physician
J Rako MD PC
J Rako MD PC was paid $916K by Medicaid between Jan 2018 and Jun 2022, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoJ RAKO MD PC
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1699756122assigned 11/10/2005
33bProvider typePediatrics Physician
28Total paid$916K
24GClaims25,552
24DCodes billed26
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#83 of 1,273
Median peer was paid$24K
This provider vs. median38×
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 | 9,813 | $374K | |
| 2019 | 6,167 | $217K | |
| 2020 | 4,070 | $130K | |
| 2021 | 3,953 | $131K | |
| 2022 | 1,549 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 6,060 | 5,479 | $402K |
| 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 | 26% | 2,573 | 2,342 | $237K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 2,716 | 2,666 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 502 | 495 | $45K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 363 | 362 | $36K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.6% | 3,465 | 3,384 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 283 | 283 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 2,472 | 2,403 | $25K |
| 99188 | 1.8% | 638 | 629 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 851 | 826 | $10K |
| 90461 | <1% | 395 | 391 | $6K | |
| 81002 | <1% | 2,201 | 2,149 | $6K |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 368 | $3K |
| 85018 | <1% | 1,268 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | $2K |
| 99050 | <1% | 63 | $1K | |
| 82465 | <1% | 162 | $641.32 | |
| 87400 | <1% | 52 | $495.23 | |
| 83655 | <1% | 36 | $385.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $212.40 |
| 99441 | <1% | 13 | $140.01 | |
| 94760 | <1% | 23 | $5.06 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 18 | $0.00 |
| 90686 | 0% | 920 | $0.00 | |
| 90651 | 0% | 16 | $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 officialRAKO, JULES (PRESIDENT)