HARVEY, JACK
NPI: 1033475678
· MANTECA, CA 95336
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/09/2012
$173K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
646 |
$27K |
| 2019 |
510 |
$17K |
| 2020 |
403 |
$13K |
| 2021 |
636 |
$25K |
| 2022 |
846 |
$34K |
| 2023 |
977 |
$44K |
| 2024 |
313 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
1,398 |
1,385 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,406 |
2,084 |
$61K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
126 |
91 |
$12K |
| 93922 |
|
124 |
124 |
$6K |
| 73630 |
|
232 |
193 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 11750 |
|
15 |
12 |
$1K |