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    OpenPayerNPI Medicare & MedicaidAlok Jain
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    Alok Jain — Billing Profile & Reimbursement Data

    NPI 1285630095 · Springfield, MO · Psychiatry Physician

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    Alok Jain is a psychiatry physician provider located in Springfield, Missouri. This profile covers 9 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlok Jain
    Address3600 S National Ave
    CitySpringfield
    StateMO
    ZIP65807
    TaxonomyPsychiatry Physician
    NPI EnumeratedJune 27, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$157.2K
    Medicare$21.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$120$6.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$140$3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…30$80$2.5K
    90836In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…40$60$2.5K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…60$40$2.5K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…10$150$1.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…20$100$1.5K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…80$10$1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,2338,960100$80$13.9K
    9083691050$60$10.5K
    908337210090$50$7K
    992156762,30030$110$6.8K
    9079211115020$130$5.4K
    992043,5054,36030$100$4.8K
    992055351,01020$140$4.7K
    80305104040$10$1K
    9300087292040$10$1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…920$90$80.8K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…300$130$39.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…320$60$20K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…80$80$6.6K
    96111N/A40$100$3.9K
    96112The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…30$100$3.2K
    90839In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…50$60$2.6K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…50$10$610

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96112The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…122050$150$172.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,3833,170230$70$128.1K
    90839In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…51060$90$63K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…6042090$100$60.2K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…9619090$90$59.8K
    96111N/A31030$180$50.6K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…3315080$60$16K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…71100120$10$6.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Alok Jain, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Honour Brite LLCMOMulti-Specialty Clinic/Center$0$7.1M
    Elite Pain Management, LLCMOPain Medicine (Physical Medicine & Rehabilitation) Physician$0$3.5M
    Nicole LeeTXGerontology Nurse Practitioner$2.5M$0
    Martins AdeoyeILChild & Adolescent Psychiatry Physician$40.4K$2.2M
    Elite Pain Management, LLCSCPain Medicine Physician$0$1.6M
    Omobolaji Oyebanjo PopoolaGAAddiction Psychiatry Physician$4.9K$1M
    Harold WillsTXInternal Medicine Physician$495.7K$0
    David TonkinMOInterventional Pain Medicine Physician$367.4K$91.2K
    Olaniyi OsuntokunINPsychiatry Physician$445.7K$0
    Vinod AlluriTXPsychiatry Physician$187.4K$88.4K

    Nearby Providers

    Other providers in the same ZIP code as Alok Jain, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Supported Living And Employment Services, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$276.6M
    Easy Living Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$183.2M
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Healthcare Services Of The Ozarks, IncMOHome Health Agency$0$60.3M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$51.5M
    Abilities FirstMOCase Management Agency$0$45.8M
    Southwest Center For Independent LivingMOIn Home Supportive Care Agency$0$45.3M
    Lester E Cox Medical CentersMOLand Ambulance$0$25.8M
    Seniorage Area Agency On AgingMOCase Management Agency$0$19.2M
    Maxim Healthcare Services, Inc.MOHome Health Agency$0$17.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Alok Jain — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Alok Jain — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri