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    OpenPayerNPI Medicare & MedicaidPriti Jadav
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    Priti Jadav — Billing Profile & Reimbursement Data

    NPI 1609806793 · Sugar Land, TX · Internal Medicine Physician

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    Priti Jadav is a internal medicine physician provider located in Sugar Land, Texas. This profile covers 15 Medicare and 34 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
    OrganizationPriti Jadav
    Address3507 Town Center Blvd S
    CitySugar Land
    StateTX
    ZIP77479
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 4, 2006

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

    Payer SourceTotal Paid
    Medicare$92K
    Medicaid$12.9K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…450$60$25.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$120$19.1K
    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…190$80$15.9K
    99497The 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…160$50$8K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes160$30$4K
    G0444Annual depression screening, 5 to 15 minutes160$20$2.9K
    G0442Annual alcohol misuse screening, 5 to 15 minutes160$20$2.9K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…70$40$2.6K
    G0008Administration of influenza virus vaccine80$30$2.5K
    77081Dual energy X–ray absorptiometry (DXA) is a method that providers use to measure the amount of minerals per unit area of bone, referred to as bone mineral density (BMD). Bone is made up of various…70$30$2.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,15232,500110$80$17.6K
    G04391,1437,11060$120$10.6K
    992131,93229,79070$60$8.4K
    9920415,09116,38030$110$5.6K
    994972932,40040$60$4.8K
    770806051,38060$20$3K
    G00082,5357,86050$30$2.3K
    G04463425050$20$2.1K
    G03283123030$20$1.8K
    930001,3734,79050$10$1.6K

    Showing 1–10 of 15

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…230$40$8.7K
    99213The 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…200$20$3.5K
    99497The 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…50$10$630
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…30$1$80
    1006FNo Summary found for this code20$0$0
    1036FN/A850$0$0
    1090FUrinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence…220$0$0
    1100FNo Summary found for this code130$0$0
    1101FNo Summary found for this code320$0$0
    1111FNo Summary found for this code640$0$0

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…4,0946,040710$40$232.8K
    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…3,6655,810540$50$155.5K
    G8510Screening for depression is documented as negative, a follow-up plan is not required185580200$1$3.8K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…1,5351,870240$1$830
    99497The 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…14424080$1$770
    G8431Screening for depression is documented as being positive and a follow-up plan is documented9915070$1$410
    1170FThe provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…135240130$1$130
    1090FUrinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence…4112080$1$70
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit21740060$1$60
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.154270140$1$50

    Showing 1–10 of 34

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consolidated Home Health Holdings, LLCTXHome Health Agency$0$23.3M
    Fort Bend IsdTXLocal Education Agency (LEA)$0$19.3M
    Brent EatonTXAcute Care Nurse Practitioner$5.9M$0
    David AmranTXAllergy & Immunology Physician$2.8M$0
    Tieu Vy NguyenTXOphthalmology Physician$2.8M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Ryan ValicekTXRheumatology Physician$964.7K$0
    Salman AlyTXInternal Medicine Physician$923.9K$0
    Swati JoglekarTXGeriatric Medicine (Internal Medicine) Physician$910.9K$0
    Matthew McmenemyTXOphthalmology Physician$826.9K$0

    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. Texas Distribution
    Priti Jadav — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Priti Jadav — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas