NPI: 1386751089 · PHILADELPHIA, PA 19104 · Internal Medicine Physician · NPI assigned 08/25/2006
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 08/25/2006 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 40 | $15.00 |
| 2020 | 3,761 | $151K |
| 2021 | 18,892 | $569K |
| 2022 | 41,111 | $1.06M |
| 2023 | 39,175 | $1.41M |
| 2024 | 11,064 | $431K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 54,225 | 50,177 | $2.82M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,399 | 11,658 | $477K |
| 99215 | Prolong outpt/office vis | 1,779 | 1,609 | $120K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,986 | 2,846 | $29K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 611 | 280 | $27K |
| 90686 | 5,225 | 5,187 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 348 | 333 | $18K |
| 99233 | Prolong inpt eval add15 m | 393 | 137 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 739 | 595 | $12K |
| 90715 | 1,806 | 1,797 | $12K | |
| 90750 | 913 | 789 | $11K | |
| 90732 | 463 | 461 | $10K | |
| 85610 | 2,082 | 1,494 | $6K | |
| 90651 | 419 | 414 | $4K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 38 | 38 | $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) | 300 | 227 | $2K |
| 3078F | 4,433 | 4,176 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 44 | 44 | $2K |
| 99205 | Prolong outpt/office vis | 23 | 18 | $2K |
| 99254 | 35 | 15 | $2K | |
| 86580 | 1,167 | 973 | $2K | |
| 3074F | 3,637 | 3,405 | $2K | |
| 0124A | 106 | 106 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17 | 17 | $1K |
| 0134A | 175 | 175 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 13 | $889.20 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 103 | 98 | $866.55 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 25 | 25 | $539.22 |
| 36415 | Collection of venous blood by venipuncture | 137 | 121 | $531.05 |
| 90670 | 327 | 327 | $487.31 | |
| 90746 | 45 | 44 | $432.70 | |
| 3079F | 706 | 669 | $400.00 | |
| 90662 | 178 | 178 | $362.82 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 13 | 13 | $294.32 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 25 | 25 | $282.54 |
| 3044F | 1,191 | 1,091 | $270.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 29 | 28 | $254.90 |
| 82962 | 128 | 114 | $222.58 | |
| 90658 | 16 | 16 | $211.47 | |
| 99173 | 60 | 58 | $189.96 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13 | 13 | $180.79 |
| 3077F | 124 | 122 | $160.00 | |
| 3075F | 220 | 212 | $140.00 | |
| 90648 | 261 | 261 | $131.03 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 14 | 14 | $67.66 |
| 81025 | 24 | 24 | $37.92 | |
| 81002 | 15 | 13 | $26.84 | |
| 3080F | 42 | 42 | $20.00 | |
| 4010F | 198 | 173 | $10.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 581 | 461 | $2.36 |
| 90734 | 12 | 12 | $0.00 | |
| 3050F | 27 | 26 | $0.00 | |
| 90710 | 13 | 13 | $0.00 | |
| 91322 | 496 | 493 | $0.00 | |
| 0054A | 145 | 138 | $0.00 | |
| 90633 | 50 | 50 | $0.00 | |
| 3062F | 125 | 117 | $0.00 | |
| 3008F | 12,402 | 11,485 | $0.00 | |
| 3048F | 557 | 492 | $0.00 | |
| 90723 | 143 | 143 | $0.00 | |
| 90480 | 334 | 302 | $0.00 | |
| 90677 | 778 | 777 | $0.00 | |
| 90680 | 96 | 96 | $0.00 | |
| 1111F | 14 | 14 | $0.00 |