GPN JACKSONVILLE LLC
NPI: 1376812487
· JACKSONVILLE, AR 72076
· Emergency Medicine Physician
· NPI assigned 12/19/2011
$121K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HUCKABEE, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,113 |
$91K |
| 2019 |
747 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,565 |
1,407 |
$59K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
907 |
814 |
$45K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
317 |
286 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$369.60 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
46 |
28 |
$173.86 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
13 |
13 |
$0.00 |