DIABETES CENTER OF JACKSON, PLLC
NPI: 1003315524
· JACKSON, TN 38305
· Family Nurse Practitioner
· NPI assigned 02/10/2018
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | LITTLE, TRACY (OWNER) |
| NPI Enumeration Date | 02/10/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
235 |
$4K |
| 2021 |
3,320 |
$68K |
| 2022 |
2,286 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,764 |
2,316 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
252 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
295 |
$8K |
| 95251 |
|
472 |
397 |
$5K |
| 99401 |
|
326 |
299 |
$5K |
| 82962 |
|
1,643 |
1,349 |
$2K |