Jain, Pushpendra

Jain, Pushpendra was paid $58K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoJAIN, PUSHPENDRA
COOKEVILLE, TN 38501

33aNPI1689748634assigned 11/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$58K

24GClaims2,085

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#315 of 754

Median peer was paid$34K

This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,883	$50K
2019	202	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	51%	544	425	$29K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	255	214	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	314	275	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.1%	54	42	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.7%	101	86	$1K
81003		<1%	33	26	$78.20
36415	Collection of venous blood by venipuncture	<1%	16	13	$42.18
3008F		0%	692	509	$0.00
99050		0%	76	60	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.