Physician

Nicholas Andrew Juan, M.D.

According to 2025 Medicare claims, Nicholas Juan, M.D. (NPI: 1013270875) practices pain management in the Bremerton-Silverdale-Port Orchard, WA market, with the plurality of this provider's patient population coming from Kitsap, WA. This provider's primary affiliated billing organization is SOUND PAIN ALLIANCE (NPI: 1649776394; TIN: 823663428) and primary practice location at 98383-8583. Juan is affiliated with the AdvantagePoint Health Alliance - Northwest, LLC (ACO ID: A5025) and Jefferson Accountable Care, LLC (ACO ID: A5275), participating under the MSSP model.

Juan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,357 traditional Medicare patients, billed 13,443 HCPCS/CPT codes, and received $601,413 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 328 prescription claims across 138 beneficiaries totaling $4,840 in drug costs, led by Naloxone Hcl (Naloxone Hcl). 2021 DME data shows 14 claims. Open Payments data shows 40 records totaling $874. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $215,370 to $601,413. In contrast, Part D prescription costs have fallen sharply in recent years, from $646 to $4,840. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$302K$605K2017 Medicare payment: $215,370 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $336,707 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $339,316 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $268,907 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $344,676 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $494,522 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $604,615 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $601,413 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20174062,507$215,370
20186575,488$336,707
20197415,788$339,316
20204025,913$268,907
20215149,469$344,676
20221,14310,954$494,522
20231,32612,862$604,615
20241,35713,443$601,413

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$96K$191K2015 Drug cost: $646 (USD; Tot_Drug_Cst)2016 Drug cost: $3,866 (USD; Tot_Drug_Cst)2017 Drug cost: $98,015 (USD; Tot_Drug_Cst)2018 Drug cost: $191,455 (USD; Tot_Drug_Cst)2019 Drug cost: $71,925 (USD; Tot_Drug_Cst)2020 Drug cost: $43,597 (USD; Tot_Drug_Cst)2021 Drug cost: $39,302 (USD; Tot_Drug_Cst)2022 Drug cost: $30,052 (USD; Tot_Drug_Cst)2023 Drug cost: $20,252 (USD; Tot_Drug_Cst)2024 Drug cost: $4,840 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R16$646
201636100$3,866
20173451,629$98,015
20184683,099$191,455
20193231,163$71,925
2020153650$43,597
2021137521$39,302
2022161704$30,052
2023163490$20,252
2024138328$4,840

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.4K$8.8K2021 Medicare payment: $8,772 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211414$8,772
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level173216$209
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,1382,802$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more144175$65
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml364906$0
J1100Injection, dexamethasone sodium phosphate, 1 mg3726,001$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Naloxone HclNaloxone Hcl11166$640
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen36829$452
PregabalinPregabalin30963$317
GabapentinGabapentin23989$237
MupirocinMupirocin32452$225

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.40$874Boston Scientific Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Nicholas Andrew Juan, M.D.?

Tedicare shows public-source Medicare data for Nicholas Andrew Juan, M.D. (NPI 1013270875), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Nicholas Andrew Juan, M.D. have ACO affiliation data?

Nicholas Andrew Juan, M.D. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Northwest, LLC (MSSP, ACO ID A5025) and Jefferson Accountable Care, LLC (MSSP, ACO ID A5275).

What billing organization is linked to Nicholas Andrew Juan, M.D.?

Nicholas Andrew Juan, M.D. is linked to SOUND PAIN ALLIANCE (billing NPI 1649776394) in the available physician profile data.

Does Nicholas Andrew Juan, M.D. have Open Payments data?

Nicholas Andrew Juan, M.D. has 40 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.