NPI: 1316335425 · PHILADELPHIA, PA 19104 · Optometrist · NPI assigned 12/26/2014
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 12/26/2014 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 652 | $5K |
| 2019 | 605 | $9K |
| 2020 | 3,129 | $87K |
| 2021 | 11,136 | $383K |
| 2022 | 9,936 | $355K |
| 2023 | 9,844 | $398K |
| 2024 | 8,322 | $316K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9,531 | 9,019 | $486K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4,655 | 4,475 | $280K |
| 92134 | 5,715 | 5,529 | $155K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 954 | 835 | $129K |
| V2020 | Frames, purchases | 3,853 | 2,656 | $110K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,037 | 1,909 | $80K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2,372 | 799 | $64K |
| 92083 | 1,106 | 1,061 | $55K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1,172 | 1,124 | $48K |
| 92133 | 1,082 | 1,060 | $30K | |
| V2760 | Scratch resistant coating, per lens | 2,885 | 1,051 | $29K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 132 | 130 | $22K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 176 | 169 | $15K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 251 | 218 | $14K |
| J9035 | Injection, bevacizumab, 10 mg | 231 | 227 | $10K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 12 | 12 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6,092 | 1,942 | $6K |
| 92020 | 303 | 295 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 305 | 304 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 55 | 49 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 38 | 12 | $1K |
| 92136 | 73 | 55 | $976.08 | |
| 92250 | 38 | 37 | $829.79 | |
| 92002 | 16 | 15 | $579.05 | |
| 92025 | 25 | 24 | $410.90 | |
| 92285 | 14 | 13 | $178.33 | |
| 92015 | Determination of refractive state | 474 | 448 | $115.34 |
| 76514 | 14 | 14 | $112.87 | |
| J0178 | Injection, aflibercept, 1 mg | 13 | 13 | $0.00 |