MAT-SU VALLEY III LLC

NPI: 1518472984 · PALMER, AK 99645 · Urgent Care Clinic/Center · NPI assigned 12/07/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$244K

Total Medicaid Paid

12,550

Total Claims

10,305

Beneficiaries

Codes Billed

2021-03

First Month

2024-12

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SENIOR DIRECTOR)
NPI Enumeration Date	12/07/2017

Other providers sharing the same authorized official: JACKSON, JENNIFER

Provider	City	State	Total Paid
LAS CRUCES PHYSICIAN SERVICES LLC	LAS CRUCES	NM	$62.87M
ROSWELL CLINIC CORP	ROSWELL	NM	$14.65M
PECOS VALLEY OF NEW MEXICO, LLC	CARLSBAD	NM	$6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC	CORSICANA	TX	$4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC	FLOWOOD	MS	$2.83M
STATESVILLE HMA MEDICAL GROUP, LLC	STATESVILLE	NC	$2.68M
HEARTLAND COUNSELING SERVICES, INC.	SOUTH SIOUX CITY	NE	$2.31M
MOORESVILLE PPM LLC	MOORESVILLE	NC	$1.35M
SCRANTON QUINCY AMBULANCE LLC	SCRANTON	PA	$1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC	SPRING HILL	FL	$1.14M
INTERMOUNTAIN MEDICAL GROUP, INC	KINGSTON	PA	$1.09M
ROSWELL HOSPITAL CORPORATION	ROSWELL	NM	$714K
WOODWARD CLINIC COMPANY, LLC	WOODWARD	OK	$598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC	BILOXI	MS	$585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC	EL DORADO	AR	$495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC	CUDJOE KEY	FL	$406K
MOORESVILLE PPM LLC	MOORESVILLE	NC	$385K
HEARTLAND COUNSELING SERVICES, INC.	ONEILL	NE	$295K
NORTHWEST CARDIOLOGY LLC	TUCSON	AZ	$265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC	RONCEVERTE	WV	$224K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,147	1,825	$196K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	175	153	$24K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	129	117	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	329	259	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	203	124	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	53	49	$2K
71046	Radiologic examination, chest; 2 views	13	13	$485.10
3079F		207	174	$0.00
3008F		3,713	3,013	$0.00
1125F		440	409	$0.00
1036F		1,033	872	$0.00
3074F		2,250	1,809	$0.00
93000		14	14	$0.00
3078F		1,832	1,462	$0.00
3077F		12	12	$0.00