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NPI 1558353763 · Rego Park, NY · Internal Medicine Physician
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Ajay Jain is a internal medicine physician provider located in Rego Park, New York. This profile covers 15 Medicare and 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ajay Jain |
| Address | 65-11 Booth Street |
| City | Rego Park |
| State | NY |
| ZIP | 11374 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | August 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $506.2K |
| Medicaid | $80.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 3,310 | $100 | $344.7K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 370 | $150 | $55.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 350 | $100 | $33.3K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 430 | $70 | $30.3K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 250 | $70 | $16.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 170 | $70 | $12K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 20 | $160 | $2.5K |
| 99214 | The 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… | 20 | $100 | $2.4K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 10 | $170 | $2.4K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 10 | $180 | $2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 2,234 | 2,360 | 250 | $60 | $44.9K |
| 99309 | 821 | 2,150 | 220 | $90 | $41.7K |
| 93306 | 1,945 | 1,990 | 200 | $110 | $30.7K |
| 99214 | 26,097 | 30,450 | 90 | $100 | $19K |
| 99306 | 946 | 1,060 | 60 | $150 | $16.6K |
| 99233 | 2 | 8,640 | 80 | $100 | $15.8K |
| 93880 | 1,685 | 1,730 | 50 | $140 | $14.5K |
| 99213 | 9,080 | 31,440 | 80 | $70 | $12.1K |
| 99223 | 110 | 8,650 | 40 | $150 | $9.3K |
| 90694 | 2,625 | 3,120 | 60 | $70 | $7.1K |
Showing 1–10 of 15
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 3,470 | $10 | $48.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,820 | $10 | $10.9K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 700 | $10 | $8.4K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 200 | $30 | $5.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 250 | $20 | $4.6K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 120 | $10 | $1.4K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 70 | $1 | $260 |
| 99335 | N/A | 80 | $1 | $80 |
| 99334 | N/A | 10 | $0 | $0 |
| 99336 | N/A | 60 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 383 | 4,120 | 130 | $30 | $26.7K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 102 | 820 | 70 | $50 | $25.8K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 50 | 2,620 | 100 | $50 | $25.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 312 | 1,670 | 40 | $90 | $19.1K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,486 | 2,090 | 420 | $10 | $18.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 640 | 1,410 | 50 | $60 | $18.6K |
| 99336 | N/A | 80 | 120 | 140 | $20 | $18.5K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,075 | 1,840 | 390 | $10 | $17.1K |
| 99335 | N/A | 110 | 150 | 320 | $10 | $13.7K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 507 | 690 | 70 | $30 | $9.2K |
Showing 1–10 of 11
Other providers in the same ZIP code as Ajay Jain, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bnv Home Care Agency, Inc. | NY | Home Health Agency | $0 | $635.6M |
| Marks Home Care Agency Of Ny, Inc | NY | Home Health Agency | $0 | $442.8M |
| International Home Care Services Of Ny, LLC | NY | Home Health Agency | $0 | $176.9M |
| Ahs Eldercare LLC | NY | Home Health Agency | $0 | $100.1M |
| At Home Solutions LLC | NY | Home Health Agency | $0 | $94.5M |
| N And J Home Care Inc | NY | Home Health Agency | $0 | $66.8M |
| Seniorcare Hha, Inc | NY | Home Health Agency | $0 | $24.3M |
| Douglas Uhlig | NY | Psychologist | $188.3K | $3.6M |
| Stella Ilyayeva | NY | Endocrinology, Diabetes & Metabolism Physician | $685.9K | $1.9M |
| Neal Lisann | NY | Diagnostic Radiology Physician | $491.5K | $820.3K |
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