Physician
Jain, Priti
Jain, Priti was paid $528K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.
33Billing provider infoJAIN, PRITI
HICKSVILLE, NY 11801
HICKSVILLE, NY 11801
33aNPI1780607333assigned 07/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$528K
24GClaims22,409
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#453 of 6,049
Median peer was paid$11K
This provider vs. median47×
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 | 1,677 | $33K | |
| 2019 | 1,538 | $45K | |
| 2020 | 4,923 | $82K | |
| 2021 | 8,240 | $232K | |
| 2022 | 2,974 | $58K | |
| 2023 | 1,998 | $53K | |
| 2024incomplete | 1,059 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 2,414 | 2,403 | $153K |
| 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 | 27% | 3,681 | 3,093 | $141K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,554 | 2,942 | $101K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,391 | 1,387 | $61K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.9% | 3,143 | 2,712 | $52K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.2% | 100 | 99 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 210 | 206 | $5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 81 | 74 | $3K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 98 | 97 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 46 | 41 | $1K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 19 | 12 | $713.15 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 422 | 200 | $367.20 |
28 more codes
| 99051 | <1% | 48 | $325.22 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $285.94 |
| 0012A | <1% | 17 | $228.38 | |
| 0011A | <1% | 39 | $132.56 | |
| 96127 | <1% | 204 | $131.27 | |
| 99072 | <1% | 918 | $105.00 | |
| 1111F | <1% | 729 | $75.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 534 | $55.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 971 | $26.69 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 350 | $0.00 |
| 1126F | 0% | 40 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 495 | $0.00 |
| 99000 | 0% | 509 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 79 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 72 | $0.00 |
| 1036F | 0% | 60 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 339 | $0.00 |
| 99080 | 0% | 1,163 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 118 | $0.00 |
| 1159F | 0% | 77 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 222 | $0.00 |
| 81002 | 0% | 17 | $0.00 | |
| 96160 | 0% | 23 | $0.00 | |
| 1160F | 0% | 76 | $0.00 | |
| 1124F | 0% | 14 | $0.00 | |
| 99408 | 0% | 17 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 17 | $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.