INGRID W. JACKSON, M.D., LLC
NPI: 1205336187
· EDMOND, OK 73013
· Family Medicine Physician
· NPI assigned 02/16/2018
Provider Details
| Authorized Official | WHITE, TINA (OWNER) |
| NPI Enumeration Date | 02/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
113 |
$8K |
| 2020 |
117 |
$10K |
| 2022 |
69 |
$6K |
| 2023 |
249 |
$24K |
| 2024 |
158 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
611 |
573 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
46 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
45 |
44 |
$301.78 |