Providers
EYAD ALHAJ, MD
NPI 1770698375, individual, Bourbonnais, IL, Internal Medicine, Interventional Cardiology
5
Evidence tier
informational
score 31 of 100, rank 10879, $1.6M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EYAD ALHAJ, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 21, 2006, last updated April 16, 2024 |
| Practice location | 100 PROVENA WAY STE C, Bourbonnais, IL 60914-4798, 815-937-9370 |
| Specialties | Internal Medicine (207R00000X, license 34500 KY) Internal Medicine, Advanced Heart Failure and Transplant Cardiology (207RA0001X, license 036143114 IL) Internal Medicine, Cardiovascular Disease (207RC0000X, license 036143114 IL) Internal Medicine, Interventional Cardiology (207RI0011X, primary, license 036143114 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 35% | $45 | $44 (top 5% from $110) | 53rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $647K | 15% | $75 | $67 (top 5% from $121) | 62nd percentile | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $628K | 15% | $32 | $40 (top 5% from $69) | 39th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $415K | 10% | $61 | $60 (top 5% from $133) | 51st percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $378K | 9% | $25 | $22 (top 5% from $33) | 65th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $158K | 4% | $32 | $28 (top 5% from $147) | 59th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $153K | 4% | $13 | $12 (top 5% from $18) | 54th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $123K | 3% | $47 | $45 (top 5% from $138) | 54th percentile |
Medicare Part B 2024, largest codes
| 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 | 284 | 238 | $20K | $193 | $116 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 362 | 275 | $19K | $85 | $75 | 1.1x | 2.2x (90th percentile 3.8x) |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 83 | 83 | $14K | $449 | $213 | 2.1x | 2.6x (90th percentile 4.2x) |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 197 | 167 | $10K | $70 | $50 | 1.4x | 2.0x (90th percentile 4.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 69 | 69 | $9K | $356 | $161 | 2.2x | 2.4x (90th percentile 3.9x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 55 | 54 | $7K | $404 | $164 | 2.5x | 3.0x (90th percentile 5.6x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 91 | 91 | $6K | $110 | $103 | 1.1x | 2.4x (90th percentile 3.9x) |
| 33208 | Insertion of pacemaker and upper and lower heart chamber electrode | 15 | 15 | $5K | $2K | $403 | 3.9x | 3.4x (90th percentile 6.2x) |
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
2 providers in Kankakee County, IL carry an indicator in the public record, with $657K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PRESENCE HOME CARE Kankakee, IL, ranked 1363 | $93K |
|
| 4 | POLLY VAUGHN Bourbonnais, IL, ranked 7339 | $564K |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown
Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.
DOJConvictedJun 18, 2026
Suburban Chicago Chiropractor Convicted of Healthcare Fraud
A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.
DOJSentencedJun 10, 2026
Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses
Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.
DOJCivil settlementMay 8, 2026
Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services
Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.
DOJIndictedFeb 12, 2026
Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme
The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.
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.