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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Ashit Jain
❤️
MDIndividual

Ashit Jain, M.D.

NPI: 1154344919
Fremont, CA
10 years of data
Cardiology
$21.2M
Total Payments
127.6K
Beneficiaries
222.6K
Services
2.76x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$21.2M
Specialty median$193.1K

📋 Key Findings

1Billed $21.2M over 10 years
22.76x markup ratio (above median)
399th percentile in Cardiology by payments
489 services/day — unusually high
5Payments surged 52% in 2019
64 procedures with >3x markup

This provider averages 89 services per working day

Based on 222.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $21.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 89 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 52% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$397.26$129.953.06x$267.31$1.6M16.7K11.1K
2015$397.16$127.043.13x$270.12$1.6M18.6K12.0K
2016$415.10$123.043.37x$292.06$1.7M21.3K12.7K
2017$350.79$116.253.02x$234.54$1.9M24.2K13.9K
2018$414.43$126.723.27x$287.71$2.0M23.5K14.2K
2019$2.1K$508.524.10x$1.6K$3.1M25.8K14.5K
2020$1.3K$364.163.62x$953.96$2.2M22.9K11.8K
2021$1.3K$339.463.78x$942.74$2.7M25.3K12.8K
2022$1.3K$307.564.34x$1.0K$2.2M23.2K12.4K
2023$1.3K$310.934.33x$1.0K$2.1M21.0K12.2K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$4.1M
42.9K services$95.42/svc1.97x markup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 4.3x markup
$2.7M
193 services$14.0K/svc4.32x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$2.4M
5.2K services$465.65/svc1.61x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.5x markup
$1.5M
8.2K services$177.77/svc3.50x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin
$1.4M
1.0K services$1.4K/svc2.53x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$603.7K
3.2K services$187.26/svc2.27x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$560.4K
8.9K services$62.72/svc2.39x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$496.4K
5.3K services$93.52/svc2.24x markup
99308Subsequent nursing facility visit, typically 15 minutes per day
$476.3K
7.9K services$60.67/svc1.87x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$412.7K
1.7K services$246.85/svc1.52x markup
36247Insertion of catheter into abdominal pelvic or leg artery⚠ 5.5x markup
$405.9K
378 services$1.1K/svc5.47x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$392.0K
2.3K services$168.51/svc1.93x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$331.5K
1.7K services$189.99/svc2.26x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$316.9K
393 services$806.39/svc1.97x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report⚠ 3.0x markup
$274.7K
1.2K services$230.47/svc3.04x markup
82306Vitamin D-3 level
$230.8K
6.8K services$33.80/svc1.51x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$193.6K
3.3K services$58.15/svc2.19x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$186.6K
2.1K services$89.73/svc2.23x markup
84443Blood test, thyroid stimulating hormone (TSH)
$178.9K
9.3K services$19.25/svc1.85x markup
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$175.7K
1.3K services$136.51/svc1.83x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes42.9K$4.1M$95.421.97x
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure193$2.7M$14.0K4.32x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5.2K$2.4M$465.651.61x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function8.2K$1.5M$177.773.50x
36475Destruction of insufficient vein of arm or leg, accessed through the skin1.0K$1.4M$1.4K2.53x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers3.2K$603.7K$187.262.27x
99232Subsequent hospital inpatient care, typically 25 minutes per day8.9K$560.4K$62.722.39x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose5.3K$496.4K$93.522.24x
99308Subsequent nursing facility visit, typically 15 minutes per day7.9K$476.3K$60.671.87x
93925Ultrasound study of arteries and arterial grafts of both legs1.7K$412.7K$246.851.52x
36247Insertion of catheter into abdominal pelvic or leg artery378$405.9K$1.1K5.47x
99223Initial hospital inpatient care, typically 70 minutes per day2.3K$392.0K$168.511.93x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.7K$331.5K$189.992.26x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days393$316.9K$806.391.97x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report1.2K$274.7K$230.473.04x
82306Vitamin D-3 level6.8K$230.8K$33.801.51x
99213Established patient office or other outpatient visit, typically 15 minutes3.3K$193.6K$58.152.19x
99233Subsequent hospital inpatient care, typically 35 minutes per day2.1K$186.6K$89.732.23x
84443Blood test, thyroid stimulating hormone (TSH)9.3K$178.9K$19.251.85x
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1.3K$175.7K$136.511.83x

Markup Analysis

Charge-to-Payment Ratio

2.76x

This provider submits charges 2.76 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. This is higher than the national average.

Location

Fremont, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Ashit Jain (you)
$21.2M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data