ST DOMINIC MEDICAL ASSOCIATES LLC
NPI: 1508263179
· JACKSON, MS 39216
· Family Nurse Practitioner
· NPI assigned 11/26/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official STUART, DANIELLE controls 12+ related entities in our dataset. Read more
Provider Details
| Authorized Official | STUART, DANIELLE (CREDENTIALING REPRESENTATIVE 2) |
| Parent Organization | ST DOMINIC JACKSON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 11/26/2014 |
Related Entities
Other providers sharing the same authorized official: STUART, DANIELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
36 |
$121.88 |
| 2019 |
298 |
$5K |
| 2020 |
89 |
$3K |
| 2021 |
145 |
$3K |
| 2022 |
243 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
281 |
$13K |
| 85610 |
|
188 |
120 |
$468.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
12 |
$309.57 |
| 36415 |
Collection of venous blood by venipuncture |
250 |
209 |
$206.37 |