AJAY JAIN, M.D.
Pulmonary Disease Physician · HOUSTON, TX
Individual Active NPI 1063426674
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 648 | 4,276 | $450,227 | $240,479 | $184,661 |
| 2023 | 645 | 2,787 | $394,165 | $237,388 | $182,782 |
| 2022 | 731 | 3,780 | $422,905 | $245,074 | $188,235 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 719 | $125 | $94 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 570 | $72 | $57 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 494 | $0 | $0 |
| 94004 | Nursing facility ventilation assistance and management | 380 | $44 | $35 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 254 | $37 | $29 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 150 | $89 | $66 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 103 | $164 | $126 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 88 | $128 | $100 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 74 | $110 | $80 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 72 | $115 | $91 |
| 94010 | Test to measure expiratory airflow and volume | 55 | $26 | $21 |
| 94726 | Test to determine lung volumes using sensors | 48 | $54 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | M4200 | TX |
| Internal Medicine Physician | 207R00000X | M4200 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M4200 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.