ST. DOMINIC MEDICAL ASSOCIATES LLC
NPI: 1407920549
· JACKSON, MS 39216
· Surgical Critical Care Physician
· NPI assigned 11/20/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official STUART, DANIELLE controls 12+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | STUART, DANIELLE (CREDENTIALING SPECIALIST) |
| Parent Organization | ST DOMINC JACKSON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 11/20/2006 |
Related Entities
Other providers sharing the same authorized official: STUART, DANIELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
345 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
86 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
25 |
$0.00 |