ST DOMINIC MEDICAL ASSOCIATES LLC
NPI: 1093032849
· JACKSON, MS 39216
· Family Medicine Physician
· NPI assigned 05/03/2010
Provider Details
| Authorized Official | SINCLAIR, JENNIFER (CHIEF FINANCIAL OFFICER) |
| Parent Organization | ST DOMINIC JACKSON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 05/03/2010 |
Related Entities
Other providers sharing the same authorized official: SINCLAIR, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$271.40 |
| 2021 |
36 |
$936.75 |
| 2023 |
12 |
$638.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
46 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$638.41 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$11.55 |