UNIVERSITY OF PENN-MEDICAL GROUP

NPI: 1275921298 · PHILADELPHIA, PA 19104 · Surgical Critical Care Physician · NPI assigned 12/29/2014

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$89K

Total Medicaid Paid

840

Total Claims

394

Beneficiaries

Codes Billed

2021-05

First Month

2024-08

Last Month

Provider Details

Authorized Official	JACKSON, CHANTE (ENROLLMENT LEAD)
NPI Enumeration Date	12/29/2014

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

Code	Description	Claims	Beneficiaries	Total Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	417	145	$66K
99232	Subsequent hospital care, per day, moderate complexity	159	96	$10K
99233	Prolong inpt eval add15 m	98	51	$8K
99231	Subsequent hospital care, per day, straightforward or low complexity	166	102	$6K