CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH

NPI: 1396416251 · WEST CHESTER, PA 19380 · Nephrology Physician · NPI assigned 09/21/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more

$99K

Total Medicaid Paid

2,705

Total Claims

1,458

Beneficiaries

Codes Billed

2022-03

First Month

2024-11

Last Month

Provider Details

Authorized Official	JACKSON, CHANTE (PAYER SUPERVISOR)
NPI Enumeration Date	09/21/2021

Other providers sharing the same authorized official: JACKSON, CHANTE

Provider	City	State	Total Paid
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$21.49M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$17.70M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST	BALA CYNWYD	PA	$9.38M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.74M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.61M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH	RADNOR	PA	$3.34M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$3.21M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$2.45M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST	PHILADELPHIA	PA	$1.64M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.55M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.42M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.33M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.30M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.14M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$1.09M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$988K
UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	$981K
UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	$867K
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$865K
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$855K

Code	Description	Claims	Beneficiaries	Total Paid
99232	Subsequent hospital care, per day, moderate complexity	938	381	$49K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	418	407	$22K
90935	Hemodialysis procedure with single evaluation by a physician	1,002	406	$13K
99233	Prolong inpt eval add15 m	139	61	$6K
99255		27	25	$5K
99215	Prolong outpt/office vis	38	37	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	28	28	$1K
90961		16	16	$707.81
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)	99	97	$387.40