TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

NPI: 1124882949 · PHILADELPHIA, PA 19104 · Family Medicine Physician · NPI assigned 02/12/2024

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more

$720K

Total Medicaid Paid

32,112

Total Claims

29,079

Beneficiaries

Codes Billed

2024-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	JACKSON, CHANTE (PAYER SUPERVISOR)
NPI Enumeration Date	02/12/2024

Other providers sharing the same authorized official: JACKSON, CHANTE

Provider	City	State	Total Paid
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$21.49M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$17.70M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST	BALA CYNWYD	PA	$9.38M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.74M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.61M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH	RADNOR	PA	$3.34M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.21M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$2.45M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST	PHILADELPHIA	PA	$1.64M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.55M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.42M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.33M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.30M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.14M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.09M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$988K
UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	$981K
UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	$867K
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$865K
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$855K

Year	Claims	Total Paid
2024	32,112	$720K

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,484	8,636	$582K
99213		1,680	1,590	$72K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	4,408	3,822	$30K
99215	Prolong outpt/office vis	229	209	$21K
90471		182	176	$2K
3074F		2,931	2,677	$2K
3078F		2,351	2,148	$2K
99396		39	39	$2K
99395		68	68	$2K
91322		293	278	$2K
90656		544	533	$1K
36415		308	238	$843.00
3044F		932	857	$660.00
82962		335	306	$512.68
83036		96	92	$466.52
3079F		415	382	$351.96
90480		108	101	$313.71
99394		12	12	$240.00
3077F		54	54	$50.00
3075F		112	103	$40.00
3080F		12	12	$20.00
90715		311	273	$0.00
90750		91	71	$0.00
90746		40	34	$0.00
3008F		5,738	5,181	$0.00
90677		229	206	$0.00
3061F		177	157	$0.00
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	162	131	$0.00
4010F		163	142	$0.00
3048F		370	343	$0.00
90651		160	146	$0.00
86580		64	48	$0.00
3060F		14	14	$0.00