Physician

Aditya Birbal-Jain, MD

According to 2025 Medicare claims, Aditya Birbal-Jain, MD (NPI: 1255628723) practices family practice in the Champaign-Urbana, IL market, with the plurality of this provider's patient population coming from Champaign, IL. This provider's primary affiliated billing organization is CARLE HEALTH CARE INCORPORATED (NPI: 1154653947; TIN: 371140016) and primary practice location at 61802-9566.

Birbal-Jain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 177 traditional Medicare patients, billed 686 HCPCS/CPT codes, and received $30,108 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,716 prescription claims across 484 beneficiaries totaling $668,506 in drug costs, led by Jardiance (Empagliflozin). DME data shows 35 claims. No Open Payments records. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $217,828 to $668,506. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $3,317 and ending at $20,437.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	143	338	$19,595
2021	172	434	$30,562
2022	164	380	$27,153
2023	179	476	$34,154
2024	177	686	$30,108

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	401	4,064	$217,828
2016	408	6,682	$351,187
2017	604	8,651	$499,023
2018	629	11,529	$721,006
2019	676	11,464	$818,243
2020	552	5,795	$378,676
2021	439	5,558	$545,067
2022	429	5,346	$552,135
2023	449	5,931	$700,440
2024	484	5,716	$668,506

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	30	70	$2,751
2016	47	198	$6,273
2017	54	334	$8,473
2018	63	460	$13,871
2019	50	377	$9,977
2020	38	148	$3,875
2021	26	74	$2,372
2022	12	60	$1,712
2023	12	73	$4,700
2024	N/R	35	$324

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	297	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	53	57	$43
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	119	243	$11
G0442	Annual alcohol misuse screening, 5 to 15 minutes	14	14	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	103	6,152	$116,808
Ozempic	Semaglutide	106	3,388	$98,946
Eliquis	Apixaban	66	4,616	$88,804
Xarelto	Rivaroxaban	32	2,100	$38,251
Rybelsus	Semaglutide	27	1,110	$32,451

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
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	21	$309
A4259	Lancets, per box of 100	N	N/R	14	$15

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Aditya Birbal-Jain, MD?

Tedicare shows public-source Medicare data for Aditya Birbal-Jain, MD (NPI 1255628723), 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 Aditya Birbal-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 Aditya Birbal-Jain, MD?

Aditya Birbal-Jain, MD is linked to CARLE HEALTH CARE INCORPORATED (billing NPI 1154653947) in the available physician profile data.

Does Aditya Birbal-Jain, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.