Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON ALLERGY & ASTHMA CLINIC PLLC

NPI: 1295226157 · JACKSON, TN 38305 · Allergy & Immunology Physician · NPI assigned 05/25/2018

$38K
Total Medicaid Paid
1,648
Total Claims
1,145
Beneficiaries
7
Codes Billed
2018-08
First Month
2019-11
Last Month

Provider Details

Authorized OfficialDEJARNATT, ALAN (OWNER)
NPI Enumeration Date05/25/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 602 $9K
2019 1,046 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 152 111 $10K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 124 109 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 316 275 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 156 137 $6K
95117 341 199 $3K
95115 528 287 $3K
94010 31 27 $588.00