NPI: 1285022202 · PHILADELPHIA, PA 19104 · Sports Medicine (Internal Medicine) Physician · NPI assigned 12/29/2014
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (EMROLLMENT LEAD) |
| NPI Enumeration Date | 12/29/2014 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 53 | $3K |
| 2021 | 72 | $5K |
| 2022 | 200 | $17K |
| 2023 | 93 | $10K |
| 2024 | 28 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 186 | 182 | $22K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 121 | 116 | $8K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 82 | 75 | $4K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41 | 41 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 16 | 14 | $86.00 |