Physician

Atul Kumar Jain, M.D.

According to 2025 Medicare claims, Atul Jain, M.D. (NPI: 1194905711) practices ophthalmology in the San Diego-Chula Vista-Carlsbad, CA market, with the plurality of this provider's patient population coming from San Diego, CA. This provider's primary affiliated billing organization is RETINA CONSULTANTS SAN DIEGO INC (NPI: 1790736098; TIN: 953511595) and primary practice location at 92008-9998.

Jain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 808 traditional Medicare patients, billed 114,527 HCPCS/CPT codes, and received $3,855,802 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 460 prescription claims across 135 beneficiaries totaling $76,261 in drug costs, led by Mounjaro (Tirzepatide). Open Payments data shows 9 records totaling $356. 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 sharply higher in recent years, from $1,426,013 to $3,855,802. Similarly, Part D prescription costs have moved sharply higher in recent years, from $36,372 to $76,261. 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.

Year	Patients	Clm Lines	Payment
2015	730	6,434	$1,426,013
2016	663	6,536	$1,229,169
2017	608	6,669	$1,273,361
2018	569	4,952	$957,387
2019	565	7,540	$1,525,936
2020	724	10,485	$2,362,454
2021	844	13,889	$3,149,835
2022	820	17,190	$3,029,336
2023	800	88,817	$3,576,437
2024	808	114,527	$3,855,802

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	137	389	$36,372
2016	123	352	$30,113
2017	120	362	$34,013
2018	76	197	$21,977
2019	85	230	$29,028
2020	124	362	$45,646
2021	132	425	$50,016
2022	121	394	$38,516
2023	130	432	$98,661
2024	135	460	$76,261

DME Billing Trend

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

No connected DME records

* / # = 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
67028	Injection of drug into eye	290	1,753	$109
92014	Established patient complete exam of visual system	511	888	$102
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	287	1,144	$74
92134	Imaging of retina	798	2,887	$35
92202	Extended exam of the back part of the eye with optic nerve drawing	448	790	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	41	1,204	$42,416
Restasis	Cyclosporine	14	900	$9,683
Ilevro	Nepafenac	16	902	$7,166
Prednisolone Acetate	Prednisolone Acetate	41	2,010	$1,985
Latanoprost	Latanoprost	129	7,253	$1,527

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$356	Alcon Vision LLC
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 Atul Kumar Jain, M.D.?

Tedicare shows public-source Medicare data for Atul Kumar Jain, M.D. (NPI 1194905711), 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 Atul Kumar Jain, M.D. have ACO affiliation data?

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

What billing organization is linked to Atul Kumar Jain, M.D.?

Atul Kumar Jain, M.D. is linked to RETINA CONSULTANTS SAN DIEGO INC (billing NPI 1790736098) in the available physician profile data.

Does Atul Kumar Jain, M.D. have Open Payments data?

Atul Kumar Jain, M.D. has 9 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.