MOORESVILLE PPM LLC

NPI: 1215214127 · MOORESVILLE, NC 28115 · Family Medicine Physician · NPI assigned 11/05/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$385K

Total Medicaid Paid

40,575

Total Claims

37,149

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SR DIR PROV ENROLL & ONBOARDING)
Parent Organization	MOORESVILLE PPM LLC
NPI Enumeration Date	11/05/2011

Other providers sharing the same authorized official: JACKSON, JENNIFER

Provider	City	State	Total Paid
LAS CRUCES PHYSICIAN SERVICES LLC	LAS CRUCES	NM	$62.87M
ROSWELL CLINIC CORP	ROSWELL	NM	$14.65M
PECOS VALLEY OF NEW MEXICO, LLC	CARLSBAD	NM	$6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC	CORSICANA	TX	$4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC	FLOWOOD	MS	$2.83M
STATESVILLE HMA MEDICAL GROUP, LLC	STATESVILLE	NC	$2.68M
HEARTLAND COUNSELING SERVICES, INC.	SOUTH SIOUX CITY	NE	$2.31M
MOORESVILLE PPM LLC	MOORESVILLE	NC	$1.35M
SCRANTON QUINCY AMBULANCE LLC	SCRANTON	PA	$1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC	SPRING HILL	FL	$1.14M
INTERMOUNTAIN MEDICAL GROUP, INC	KINGSTON	PA	$1.09M
ROSWELL HOSPITAL CORPORATION	ROSWELL	NM	$714K
WOODWARD CLINIC COMPANY, LLC	WOODWARD	OK	$598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC	BILOXI	MS	$585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC	EL DORADO	AR	$495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC	CUDJOE KEY	FL	$406K
HEARTLAND COUNSELING SERVICES, INC.	ONEILL	NE	$295K
NORTHWEST CARDIOLOGY LLC	TUCSON	AZ	$265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC	RONCEVERTE	WV	$224K
STATESBORO HMA PHYSICIAN MANAGEMENT LLC	STATESBORO	GA	$180K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3,097	2,666	$199K
99199	Unlisted special service, procedure or report	32,544	30,167	$105K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,559	1,326	$78K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	160	137	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	75	43	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	32	25	$328.40
90686		13	12	$35.48
36415	Collection of venous blood by venipuncture	27	26	$8.10
92551		16	14	$2.00
99172		14	13	$2.00
1159F		322	289	$0.00
3078F		249	230	$0.00
1160F		478	423	$0.00
3077F		13	12	$0.00
3008F		738	668	$0.00
1036F		637	550	$0.00
1034F		28	24	$0.00
3074F		340	311	$0.00
1126F		160	147	$0.00
3080F		15	12	$0.00
3079F		44	41	$0.00
1125F		14	13	$0.00