Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › South Holland › NPI 1811967730
Physician

Rao, Vijaykumar

Rao, Vijaykumar was paid $260K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 84% of everything it billed.

33Billing provider infoRAO, VIJAYKUMAR
SOUTH HOLLAND, IL 60473
33aNPI1811967730assigned 01/24/2006
33bProvider typeNephrology Physician
28Total paid$260K
24GClaims5,162
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#41 of 327
Median peer was paid$68K
This provider vs. median3.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018538$18K
2019870$32K
20201,092$40K
2021941$49K
2022625$47K
2023655$42K
2024incomplete441$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 84% 3,331 3,275 $219K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.9% 944 329 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 460 394 $10K
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 2.6% 182 175 $7K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.6% 161 85 $4K
90961 <1% 37 36 $2K
99222 Initial hospital care, per day, moderate complexity <1% 47 37 $2K

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.