Physician

Navin K Jain, MD

According to 2025 Medicare claims, Navin Jain, MD (NPI: 1083611875) practices pulmonary disease in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. This provider's primary affiliated billing organization is PULMONARY N SLEEP SPECIALISTS PC (NPI: 1285381491; TIN: 880912918) and primary practice location at 48162-7815.

Jain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,405 traditional Medicare patients, billed 4,531 HCPCS/CPT codes, and received $318,549 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 6,180 prescription claims across 995 beneficiaries totaling $2,910,460 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 7,254 claims. Open Payments data shows 152 records totaling $3,023. 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 declined steadily, from $589,414 to $318,549. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,266	8,932	$589,414
2016	2,187	7,125	$466,459
2017	2,069	7,009	$443,501
2018	1,813	6,636	$415,019
2019	1,942	7,244	$467,489
2020	1,546	4,490	$307,004
2021	1,380	3,698	$260,779
2022	1,434	4,030	$270,000
2023	1,458	4,674	$326,359
2024	1,405	4,531	$318,549

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	884	6,415	$1,970,363
2016	963	7,318	$1,907,597
2017	993	7,607	$2,104,129
2018	990	7,434	$2,104,943
2019	1,016	7,154	$2,235,894
2020	1,007	7,374	$2,369,662
2021	1,021	6,792	$2,793,885
2022	962	6,126	$2,628,874
2023	937	5,709	$2,653,559
2024	995	6,180	$2,910,460

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	3,305	9,032	$492,314
2016	3,835	9,957	$425,256
2017	4,054	10,862	$375,087
2018	4,377	11,739	$461,613
2019	4,941	13,402	$559,972
2020	4,268	11,860	$575,450
2021	3,954	10,725	$505,994
2022	3,274	8,456	$443,469
2023	3,158	8,201	$502,238
2024	2,747	7,254	$380,584

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	202	245	$131
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	213	258	$98
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	497	815	$93
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	449	514	$63
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	361	1,351	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	692	32,820	$671,041
Sodium Oxybate	Sodium Oxybate	13	390	$248,389
Xywav	Sodium,calcium,mag,pot Oxybate	12	360	$237,382
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	228	8,550	$176,077
Breo Ellipta	Fluticasone/Vilanterol	275	12,270	$156,347

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	55	$54,348
A7030	Full face mask used with positive airway pressure device, each	N	239	575	$53,426
A7031	Face mask interface, replacement for full face mask, each	N	232	582	$50,940
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	82	591	$38,961
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	292	663	$25,986

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	152	$3,023	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Navin K. Jain, MD?

Tedicare shows public-source Medicare data for Navin K. Jain, MD (NPI 1083611875), 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 Navin K. Jain, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Navin K. Jain, MD?

Navin K. Jain, MD is linked to PULMONARY N SLEEP SPECIALISTS PC (billing NPI 1285381491) in the available physician profile data.

Does Navin K. Jain, MD have Open Payments data?

Navin K. Jain, MD has 152 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.