Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sanjay Jain (NPI 1790050052)

Field	Value
Entity Type	Individual
Organization	Sanjay Jain
Address	6431 Fannin
City	Houston
State	TX
ZIP	77030
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 19, 2012

Payer Source	Total Paid
Medicare	$112.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	480	$70	$32.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	270	$70	$18.6K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	230	$70	$16.2K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	320	$40	$13.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,380	$10	$9.6K
74174	In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…	70	$80	$6.1K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	50	$40	$2.3K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	230	$10	$1.6K
72192	In this procedure, the provider performs computer tomographic (CT) imaging of the pelvis without using contrast.	30	$40	$1.3K
75635	The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may…	10	$90	$1.1K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Sanjay Jain — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	215	1,940	90	$80	$10.7K
74183	481	500	40	$140	$8.3K
74176	8	1,700	60	$70	$6.2K
93925	933	1,040	30	$140	$6K
71275	39	1,370	50	$70	$5K
71250	69	1,700	60	$50	$4.6K
93970	1,151	1,740	30	$80	$4.3K
71260	755	1,680	50	$50	$3.9K
71045	173	1,870	370	$10	$3.8K
74174	40	660	20	$90	$2.9K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utmb Faculty Group Practice	TX	General Practice Physician	$0	$98.9M
Ut Physicians	TX	Anesthesiology Physician	$0	$94.4M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Alyssa Rieber	TX	Hematology & Oncology Physician	$1.7M	$0
Shaheen Kavoussi	TX	Ophthalmology Physician	$1.6M	$0
Grant Fankhauser	AZ	Vascular Surgery Physician	$1.4M	$0
Larry Puthenparambil	TX	Retina Specialist (Ophthalmology) Physician	$1M	$0
Ahmad Rehmani	TX	Ophthalmology Physician	$1M	$0
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K

Sanjay Jain — Billing Profile & Reimbursement Data

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Sanjay Jain — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References