UNIVERSITY OF PENN - MEDICAL GROUP · NPI 1477660173

UNIVERSITY OF PENN - MEDICAL GROUP

NPI: 1477660173 · PHILADELPHIA, PA 19104 · Gastroenterology Physician · NPI assigned 08/25/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$429K

Total Medicaid Paid

6,276

Total Claims

5,166

Beneficiaries

Codes Billed

2020-11

First Month

2024-11

Last Month

Authorized Official	JACKSON, CHANTE (ENROLLMENT LEAD)
NPI Enumeration Date	08/25/2006

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
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,297	2,237	$153K
99215	Prolong outpt/office vis	935	909	$93K
99233	Prolong inpt eval add15 m	857	188	$42K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	244	236	$30K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	230	227	$27K
99205	Prolong outpt/office vis	167	165	$27K
99232	Subsequent hospital care, per day, moderate complexity	499	198	$25K
45380	Colonoscopy, flexible; with biopsy, single or multiple	56	56	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	127	120	$6K
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)	695	668	$5K
99254		40	38	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	116	111	$2K
99222	Initial hospital care, per day, moderate complexity	13	13	$841.24