NPI: 1194113118 · PHILADELPHIA, PA 19104 · Podiatrist · NPI assigned 12/29/2014
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 12/29/2014 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 129 | $7K |
| 2021 | 500 | $22K |
| 2022 | 941 | $45K |
| 2023 | 1,147 | $67K |
| 2024 | 1,137 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,284 | 1,984 | $85K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 539 | 500 | $58K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 620 | 582 | $41K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 334 | 326 | $24K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 48 | 39 | $2K |
| 11043 | 16 | 12 | $597.18 | |
| 11721 | 13 | 12 | $235.93 |