Physician

Priyanka Jain, MD

According to 2025 Medicare claims, Priyanka Jain, MD (NPI: 1275791881) practices ophthalmology in the Merced, CA market, with the plurality of this provider's patient population coming from Merced, CA. This provider's primary affiliated billing organization is PRIYANKA JAIN MD INC (NPI: 1770214801; TIN: 881529555) and primary practice location at 95348-1210.

Jain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,464 traditional Medicare patients, billed 7,839 HCPCS/CPT codes, and received $742,332 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 5,434 prescription claims across 1,223 beneficiaries totaling $258,038 in drug costs, led by Restasis (Cyclosporine). DME data shows 12 claims. Open Payments data shows 3 records totaling $61. 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 up and down with repeated peaks and valleys, starting at $50,550 and ending at $742,332. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,339 to $258,038. 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$371K$742K2015 Medicare payment: $50,550 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $198,853 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $277,295 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $344,937 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $286,320 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $82,151 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,591 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $123,040 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $551,460 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $742,332 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015182566$50,550
20165422,083$198,853
20176842,709$277,295
20188073,041$344,937
20196292,298$286,320
2020181291$82,151
2021339639$169,591
20223911,338$123,040
20231,0795,716$551,460
20241,4647,839$742,332

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$129K$258K2015 Drug cost: $4,339 (USD; Tot_Drug_Cst)2016 Drug cost: $44,496 (USD; Tot_Drug_Cst)2017 Drug cost: $79,488 (USD; Tot_Drug_Cst)2018 Drug cost: $108,580 (USD; Tot_Drug_Cst)2019 Drug cost: $102,621 (USD; Tot_Drug_Cst)2020 Drug cost: $120,018 (USD; Tot_Drug_Cst)2021 Drug cost: $167,794 (USD; Tot_Drug_Cst)2022 Drug cost: $165,047 (USD; Tot_Drug_Cst)2023 Drug cost: $190,294 (USD; Tot_Drug_Cst)2024 Drug cost: $258,038 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201555116$4,339
2016169753$44,496
20172761,366$79,488
20183291,511$108,580
20193641,533$102,621
20204231,526$120,018
20215122,393$167,794
20225712,271$165,047
20238573,441$190,294
20241,2235,434$258,038

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$266$5322024 Medicare payment: $532 (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
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20241212$532

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more417417$94
92014Established patient complete exam of visual system618844$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more485688$84
92012Established patient problem focused exam of visual system498845$64
92134Imaging of retina1,1141,477$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine732,415$48,863
Azelastine HclAzelastine Hcl94140,176$31,942
RocklatanNetarsudil Mesylat/Latanoprost572,505$29,355
CyclosporineCyclosporine1314,342$29,153
Prednisolone AcetatePrednisolone Acetate73618,585$21,063

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2020Frames, purchasesN1212$532

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$61Amgen Inc.
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 Priyanka Jain, MD?

Tedicare shows public-source Medicare data for Priyanka Jain, MD (NPI 1275791881), 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 Priyanka 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 Priyanka Jain, MD?

Priyanka Jain, MD is linked to PRIYANKA JAIN MD INC (billing NPI 1770214801) in the available physician profile data.

Does Priyanka Jain, MD have Open Payments data?

Priyanka Jain, MD has 3 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.