Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Lawn › NPI 1790738615
Physician

Rao, Sanjay

Rao, Sanjay was paid $718K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 44% of everything it billed.

33Billing provider infoRAO, SANJAY
OAK LAWN, IL 60453
33aNPI1790738615assigned 05/19/2006
33bProvider typeOphthalmology Physician
28Total paid$718K
24GClaims9,976
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#39 of 431
Median peer was paid$34K
This provider vs. median21×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,050$31K
2019510$15K
2020335$11K
20211,883$153K
20222,036$190K
20232,330$229K
2024incomplete1,832$89K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 44% 436 399 $315K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 4,219 3,891 $154K
92250 9.9% 2,002 1,848 $71K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.9% 968 935 $49K
67028 Intravitreal injection of a pharmacologic agent 6.8% 209 143 $49K
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 2.7% 577 510 $20K
J9035 Injection, bevacizumab, 10 mg 1.8% 210 143 $13K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.4% 195 149 $10K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.1% 312 279 $8K
92136 <1% 144 99 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 124 103 $7K
S0620 Routine ophthalmological examination including refraction; new patient <1% 94 93 $4K
8 more codes
92083 <1% 124 $4K
66821 <1% 14 $3K
V2025 Deluxe frame <1% 186 $2K
S0621 Routine ophthalmological examination including refraction; established patient <1% 39 $2K
92015 Determination of refractive state <1% 31 $560.93
V2750 Anti-reflective coating, per lens 0% 35 $0.00
V2760 Scratch resistant coating, per lens 0% 42 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 15 $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.