Physician
Priyanka Jain MD INC
Priyanka Jain MD INC was paid $1.98M by Medicaid between Sep 2022 and Dec 2024, across 21 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 20% of everything it billed.
33Billing provider infoPRIYANKA JAIN MD INC
MERCED, CA 95348
MERCED, CA 95348
33aNPI1770214801assigned 06/20/2022
33bProvider typeCardiovascular Disease Physician
28Total paid$1.98M
24GClaims26,717
24DCodes billed21
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#53 of 714
Median peer was paid$28K
This provider vs. median70×
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 | |
|---|---|---|---|
| 2022 | 1,358 | $84K | |
| 2023 | 11,367 | $781K | |
| 2024incomplete | 13,992 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 2,788 | 2,783 | $387K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 1,982 | 1,982 | $277K |
| 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 | 12% | 2,029 | 2,006 | $236K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 3,299 | 3,180 | $229K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 2,545 | 2,496 | $207K |
| 92134 | 6.2% | 4,102 | 4,092 | $123K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 4.7% | 361 | 352 | $93K |
| 92250 | 4.3% | 2,396 | 2,391 | $85K | |
| 66982 | 2.1% | 113 | 113 | $42K | |
| 92083 | 2.0% | 809 | 803 | $40K | |
| 92015 | Determination of refractive state | 1.9% | 1,964 | 1,963 | $38K |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.8% | 493 | 449 | $37K |
9 more codes
| 66761 | 1.8% | 156 | $36K | |
| 92133 | 1.4% | 935 | $29K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 722 | $28K |
| 92020 | 1.1% | 969 | $22K | |
| 68761 | 1.1% | 164 | $21K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 277 | $16K |
| 92136 | <1% | 583 | $16K | |
| J0178 | Injection, aflibercept, 1 mg | <1% | 16 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialJAIN, PRIYANKA (OWNER)