NPI: 1144895970 · AUDUBON, PA 19403 · Internal Medicine Physician · NPI assigned 05/24/2021
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (PAYER SUPERVISOR) |
| NPI Enumeration Date | 05/24/2021 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,428 | $19K |
| 2023 | 5,092 | $88K |
| 2024 | 4,458 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,328 | 7,893 | $171K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,300 | 3,175 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 286 | 284 | $4K |
| 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) | 319 | 304 | $3K |
| 90686 | 721 | 339 | $2K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12 | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 51 | 51 | $1K |
| 93000 | 38 | 37 | $717.58 | |
| 90656 | 79 | 79 | $463.35 | |
| 99385 | 12 | 12 | $274.80 | |
| 3079F | 81 | 79 | $10.00 | |
| 3078F | 37 | 37 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12 | 12 | $0.00 |
| 3077F | 14 | 12 | $0.00 | |
| 3048F | 413 | 371 | $0.00 | |
| 86580 | 30 | 29 | $0.00 | |
| 3008F | 224 | 216 | $0.00 | |
| 4010F | 21 | 18 | $0.00 |