NPI: 1336537448 · PHILADELPHIA, PA 19104 · Maternal & Fetal Medicine Physician · 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 |
|---|---|---|
| 2020 | 2,468 | $185K |
| 2021 | 13,191 | $883K |
| 2022 | 16,938 | $968K |
| 2023 | 14,813 | $812K |
| 2024 | 17,035 | $890K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 20,869 | 19,259 | $1.38M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18,804 | 17,717 | $1.30M |
| 99429 | 1,646 | 1,624 | $204K | |
| 59430 | 1,388 | 1,373 | $159K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 98 | 98 | $144K |
| 99215 | Prolong outpt/office vis | 892 | 734 | $107K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 468 | 461 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3,772 | 3,693 | $57K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 572 | 517 | $47K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,747 | 1,732 | $32K |
| T1001 | Nursing assessment / evaluation | 302 | 292 | $30K |
| 57454 | 198 | 195 | $29K | |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | 54 | 54 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 487 | 482 | $20K |
| 90715 | 3,081 | 3,037 | $19K | |
| 0502F | 3,843 | 3,535 | $19K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 889 | 863 | $18K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 728 | 720 | $17K |
| 90651 | 1,099 | 1,083 | $11K | |
| 11982 | 68 | 67 | $9K | |
| 90656 | 679 | 662 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 148 | 146 | $6K |
| 0503F | 388 | 382 | $4K | |
| 51798 | 224 | 216 | $3K | |
| 36415 | Collection of venous blood by venipuncture | 270 | 254 | $2K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25 | 25 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 43 | 43 | $2K |
| S9470 | Nutritional counseling, dietitian visit | 142 | 142 | $2K |
| 59025 | Fetal non-stress test | 83 | 67 | $2K |
| 76801 | 17 | 16 | $2K | |
| 99284 | Emergency department visit for the evaluation and management, high severity | 12 | 12 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 219 | 218 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 12 | 12 | $1K |
| 0500F | 163 | 162 | $810.00 | |
| 81002 | 222 | 218 | $778.82 | |
| 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) | 72 | 52 | $669.87 |
| 58301 | 13 | 13 | $600.58 | |
| 90686 | 215 | 215 | $492.61 | |
| 81025 | 104 | 100 | $444.48 | |
| 90658 | 34 | 34 | $289.52 | |
| 3008F | 139 | 132 | $0.00 | |
| 3044F | 104 | 97 | $0.00 | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 29 | 28 | $0.00 |
| 3078F | 48 | 47 | $0.00 | |
| 90678 | 35 | 35 | $0.00 |