ANN JACOB
NPI 1619396207, individual, Springfield, IL, Psychiatry & Neurology, Psychiatry
- Medicaid dollars per patient on code 99233 ($271 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANN JACOB |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 10, 2014, last updated September 26, 2018 |
| Practice location | 901 W JEFFERSON ST, Springfield, IL 62702-4833, 312-513-0307 |
| Mailing address | PO BOX 19642, 901 WEST JEFFERSON, Springfield, IL 62794-9642 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 125069375 IL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $632K | 59% | $271 | $96 (top 5% from $249) | 96th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $253K | 24% | $166 | $112 (top 5% from $313) | 77th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $104K | 10% | $67 | $49 (top 5% from $101) | 73rd percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $76K | 7% | $178 | $67 (top 5% from $174) | 95th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $11K | 1% | $53 | $48 (top 5% from $80) | 60th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 37 | 19 | $3K | $220 | $112 | 2.0x | 2.6x (90th percentile 4.7x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
5 providers in Sangamon County, IL carry an indicator in the public record, with $468K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TRANSITIONS SPRINGFIELD LLC Springfield, IL, ranked 2176 | $0 |
|
| 3 | RUTLEDGE-REGENCY OPERATIONS, LLC Springfield, IL, ranked 4454 | $0 |
|
| 3 | VILLA HEALTH CARE INC Sherman, IL, ranked 5186 | $0 |
|
| 4 | OBIORA ONWUAMEZE Springfield, IL, ranked 7984 | $337K |
|
| 5 | KEISHA POWELL Springfield, IL, ranked 10435 | $131K |
|
Recent enforcement in IL
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.