Physician

Nikita Jain, MD

According to 2025 Medicare claims, Nikita Jain, MD (NPI: 1801381900) practices hematology/oncology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is SHEBOYGAN PHYSICIANS GROUP, SC (NPI: 1477819902; TIN: 454775311) and primary practice location at 53081-1993. Jain is affiliated with the CareMount Value Partners IPA (ACO ID: D0019), participating under the REACH model.

Jain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 175 traditional Medicare patients, billed 54,197 HCPCS/CPT codes, and received $608,631 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 414 prescription claims across 107 beneficiaries totaling $220,719 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 91 records totaling $2,014. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $263 to $220,719. 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$304K$609K2024 Medicare payment: $608,631 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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
202417554,197$608,631

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$110K$221K2018 Drug cost: $263 (USD; Tot_Drug_Cst)2019 Drug cost: $3,245 (USD; Tot_Drug_Cst)2020 Drug cost: $1,380 (USD; Tot_Drug_Cst)2021 Drug cost: $3,786 (USD; Tot_Drug_Cst)2022 Drug cost: $18,437 (USD; Tot_Drug_Cst)2023 Drug cost: $8,074 (USD; Tot_Drug_Cst)2024 Drug cost: $220,719 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R13$263
20192765$3,245
20203889$1,380
20211660$3,786
20223071$18,437
20235396$8,074
2024107414$220,719

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more104227$95
80053Blood test, comprehensive group of blood chemicals96269$10
36415Insertion of needle into vein for collection of blood sample96211$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count108332$8
83615Lactate dehydrogenase (enzyme) level6099$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban18944$17,580
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen24349$1,021
Oxycodone HclOxycodone Hcl22490$614
Prochlorperazine MaleateProchlorperazine Maleate13325$410
Morphine Sulfate ErMorphine Sulfate16357$410

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.91$2,014Novartis Pharmaceuticals 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 Nikita Jain, MD?

Tedicare shows public-source Medicare data for Nikita Jain, MD (NPI 1801381900), 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 Nikita Jain, MD have ACO affiliation data?

Nikita Jain, MD is shown with ACO affiliation data for CareMount Value Partners IPA (REACH, ACO ID D0019).

What billing organization is linked to Nikita Jain, MD?

Nikita Jain, MD is linked to SHEBOYGAN PHYSICIANS GROUP, SC (billing NPI 1477819902) in the available physician profile data.

Does Nikita Jain, MD have Open Payments data?

Nikita Jain, MD has 91 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.