MARY ANN JACOB, M.D., LLC
NPI: 1437462363
· ANCHORAGE, AK 99508
· Pediatrics Physician
· NPI assigned 07/20/2010
Provider Details
| Authorized Official | JACOB, MARY (MEMBER/MANAGER) |
| NPI Enumeration Date | 07/20/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
355 |
$8K |
| 2019 |
248 |
$10K |
| 2020 |
108 |
$3K |
| 2021 |
49 |
$1K |
| 2022 |
51 |
$1K |
| 2023 |
12 |
$269.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
523 |
481 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
82 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
62 |
$2K |
| 0072A |
|
12 |
12 |
$840.12 |
| 90473 |
|
30 |
30 |
$504.21 |
| 90688 |
|
25 |
25 |
$30.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 99072 |
|
19 |
19 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |