JENNIFER M BELLUCCI JACKSON, MD
NPI 1689669293, individual, Wauconda, IL, Family Medicine
- Hours beyond a day in 46 months, but with up to 4091 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 96127 ($21 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 77.7 | 99.1 | 66.1 | 88.8 | 3908 | 1 | 97140 99203 99204 99211 99213 99214 99223 99238 99406 | $300K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 72.1 | 91.9 | 61.3 | 85.6 | 3289 | 1 | 97140 99203 99204 99211 99213 99214 99406 | $254K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 68.6 | 87.1 | 58.1 | 81.5 | 3452 | 1 | 97140 99203 99204 99211 99213 99214 99406 | $267K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 53.3 | 67.3 | 44.8 | 64.1 | 2905 | 1 | 99203 99204 99211 99213 99214 99223 99238 99406 | $196K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 44.2 | 55.6 | 37.1 | 50.0 | 2529 | 1 | 99203 99204 99211 99213 99214 99406 | $170K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 30.0 | 36.7 | 24.5 | 35.0 | 1973 | 1 | 99203 99211 99213 99214 99406 | $110K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 33.7 | 41.9 | 27.9 | 38.9 | 2256 | 1 | 97140 99203 99204 99211 99213 99214 99406 | $127K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 34.2 | 40.9 | 27.3 | 36.4 | 2280 | 1 | 97140 99203 99204 99211 99213 99214 99406 | $124K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 32.3 | 42.6 | 28.4 | 38.3 | 1546 | 1 | 99203 99211 99213 99214 99406 | $133K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 47.7 | 61.8 | 41.2 | 56.2 | 2224 | 1 | 99203 99204 99211 99213 99214 99406 | $186K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 45.5 | 57.2 | 38.1 | 56.3 | 2718 | 1 | 99203 99204 99211 99213 99214 99406 | $179K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 54.4 | 61.2 | 40.8 | 55.0 | 2795 | 1 | 99203 99204 99211 99213 99214 99406 | $211K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 60.4 | 68.1 | 45.4 | 63.5 | 2860 | 1 | 99203 99204 99211 99213 99214 99406 | $212K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 59.7 | 69.0 | 46.0 | 67.9 | 2967 | 1 | 99203 99211 99213 99214 99406 | $236K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 54.3 | 61.6 | 41.1 | 56.0 | 2949 | 1 | 99203 99204 99211 99213 99214 99238 99406 | $206K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 45.8 | 51.3 | 34.2 | 46.1 | 3052 | 1 | 99203 99204 99211 99213 99214 99406 | $178K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 38.6 | 43.2 | 28.8 | 43.2 | 2510 | 1 | 99203 99204 99211 99213 99214 | $145K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 42.6 | 47.7 | 31.8 | 42.9 | 2672 | 1 | 99203 99204 99211 99213 99214 | $165K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 44.1 | 50.5 | 33.7 | 47.5 | 2882 | 1 | 99203 99204 99211 99213 99214 99406 | $175K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 51.1 | 60.2 | 40.1 | 57.3 | 3194 | 1 | 99203 99204 99211 99213 99214 99406 | $201K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 53.0 | 62.0 | 41.3 | 55.7 | 3842 | 1 | 99203 99204 99211 99213 99214 99406 | $215K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 50.3 | 59.3 | 39.5 | 56.5 | 3559 | 1 | 99203 99204 99211 99213 99214 99406 | $200K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 49.1 | 57.8 | 38.6 | 54.3 | 3505 | 1 | 99203 99204 99211 99213 99214 99406 | $201K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 54.8 | 62.1 | 41.4 | 55.8 | 3702 | 1 | 99203 99204 99211 99213 99214 99406 | $224K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 59.9 | 68.7 | 45.8 | 66.4 | 3754 | 1 | 99203 99204 99211 99213 99214 99406 | $232K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 54.5 | 63.0 | 42.0 | 59.2 | 3483 | 1 | 99203 99204 99211 99212 99213 99214 99406 99442 | $228K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 43.0 | 48.2 | 32.1 | 43.8 | 2343 | 1 | 99203 99204 99211 99212 99213 99214 99215 99406 | $169K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 43.4 | 49.4 | 33.0 | 48.7 | 2591 | 1 | 99203 99204 99211 99212 99213 99214 99215 99406 | $179K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 51.4 | 59.2 | 39.5 | 53.8 | 2933 | 1 | 99203 99204 99211 99212 99213 99214 99215 99406 | $207K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 74.9 | 88.9 | 59.3 | 79.9 | 3258 | 1 | 99203 99204 99211 99212 99213 99214 99406 | $324K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 70.3 | 83.7 | 55.8 | 82.3 | 3156 | 1 | 99203 99204 99211 99212 99213 99214 99406 | $305K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 75.5 | 92.5 | 61.7 | 84.1 | 3405 | 1 | 99203 99204 99211 99212 99213 99214 99406 | $327K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 70.8 | 89.8 | 59.9 | 84.4 | 3735 | 1 | 99203 99211 99212 99213 99214 99406 | $330K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 72.0 | 86.6 | 57.7 | 82.5 | 3951 | 1 | 99201 99202 99203 99204 99211 99212 99213 99214 99406 | $310K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 62.8 | 83.1 | 55.4 | 68.5 | 3430 | 1 | 97140 99201 99203 99211 99212 99213 99214 99406 | $285K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 50.4 | 60.4 | 40.3 | 59.4 | 3411 | 1 | 96136 99203 99204 99211 99212 99213 99214 99215 99406 | $228K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 57.3 | 68.2 | 45.5 | 63.7 | 3402 | 1 | 96136 99203 99204 99211 99212 99213 99214 99406 | $223K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 63.5 | 75.0 | 50.0 | 67.4 | 3930 | 1 | 96136 99203 99204 99211 99212 99213 99214 99406 | $264K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 67.4 | 83.7 | 55.8 | 72.3 | 4091 | 1 | 96136 97140 99203 99204 99211 99212 99213 99214 99215 | $269K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 58.8 | 71.0 | 47.3 | 69.8 | 3796 | 1 | 96136 99203 99204 99211 99212 99213 99214 | $251K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 53.3 | 65.6 | 43.7 | 59.6 | 3422 | 1 | 96136 99202 99203 99204 99211 99212 99213 99214 99215 | $234K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 27.0 | 31.2 | 20.8 | 29.3 | 1562 | 1 | 96136 99203 99211 99212 99213 99214 | $114K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 24.4 | 28.9 | 19.2 | 25.9 | 1599 | 1 | 99203 99211 99212 99213 99214 | $111K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 28.4 | 32.7 | 21.8 | 29.4 | 1938 | 1 | 99203 99211 99212 99213 99214 | $126K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 35.4 | 40.0 | 26.7 | 38.1 | 2224 | 1 | 99203 99204 99211 99212 99213 99214 99215 | $149K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 32.7 | 37.7 | 25.2 | 35.5 | 2185 | 1 | 99203 99204 99211 99212 99213 99214 | $145K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JENNIFER M BELLUCCI JACKSON, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 20, 2005, last updated May 23, 2023 |
| Practice location | 431 W LIBERTY ST, Wauconda, IL 60084-2452, 847-526-2151 |
| Mailing address | PO BOX 6037, 431 W LIBERTY ST, Wauconda, IL 60084-6037 |
| Specialties | Family Medicine (207Q00000X, primary, license 036083207 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $5.7M | 30% | $95 | $60 (top 5% from $133) | 82nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $4.9M | 26% | $64 | $44 (top 5% from $110) | 77th percentile | |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | $2.1M | 11% | $148 | $113 (top 5% from $189) | 79th percentile | |
| 96127 | Assessment of emotional or behavioral problems | $1.1M | 6% | $21 | $4.12 (top 5% from $19) | 96th percentile | |
| 99394 | Medicaid service code | $691K | 4% | $92 | $83 (top 5% from $128) | 65th percentile | |
| 99393 | Medicaid service code | $567K | 3% | $84 | $78 (top 5% from $121) | 61st percentile | |
| 99395 | Medicaid service code | $404K | 2% | $107 | $73 (top 5% from $138) | 85th percentile | |
| 99396 | Medicaid service code | $353K | 2% | $102 | $70 (top 5% from $132) | 80th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 469 | 216 | $42K | $200 | $128 | 1.6x | 2.3x (90th percentile 3.8x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 754 | 99 | $37K | $90 | $64 | 1.4x | 1.8x (90th percentile 2.9x) |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 135 | 106 | $19K | $256 | $140 | 1.8x | 2.0x (90th percentile 3.2x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 431 | 86 | $16K | $98 | $49 | 2.0x | 1.9x (90th percentile 3.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 256 | 125 | $16K | $170 | $89 | 1.9x | 2.2x (90th percentile 3.8x) |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 92 | 46 | $8K | $150 | $117 | 1.3x | 2.2x (90th percentile 4.0x) |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 460 | 196 | $6K | $80 | $16 | 4.9x | 2.7x (90th percentile 4.5x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $6K | $300 | $130 | 2.3x | 2.3x (90th percentile 4.1x) |
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
11 providers in Lake County, IL carry an indicator in the public record, with $6.9M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KRISHNASWAMI SRIRAM Lake Forest, IL, ranked 486 | $0 |
|
| 3 | ALIYA OF HIGHWOOD LLC Highwood, IL, ranked 3036 | $0 |
|
| 3 | ATNT HOME HEALTH CARE INC. Deerfield, IL, ranked 4806 | $0 |
|
| 3 | PAVILION OF WAUKEGAN, LLC Waukegan, IL, ranked 6370 | $0 |
|
| 3 | CEDAR HILLS HEALTH & REHAB, LLC Zion, IL, ranked 6435 | $0 |
|
| 4 | VISHNU MADIREDDY Riverwoods, IL, ranked 7612 | $2.6M |
|
| 4 | DAVID ALENGO Wauconda, IL, ranked 7621 | $2.5M |
|
| 5 | SACHIN JAIN Waukegan, IL, ranked 10083 | $1.1M |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.