SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC

NPI: 1518636927 · MILTON, FL 32570 · Urology Physician · NPI assigned 09/09/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$11K

Total Medicaid Paid

1,076

Total Claims

925

Beneficiaries

Codes Billed

2022-01

First Month

2023-11

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SR DR PROV ENROLLMENT & ONBOARDING)
NPI Enumeration Date	09/09/2021

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

Year	Claims	Total Paid
2022	735	$5K
2023	341	$6K

Code	Description	Claims	Beneficiaries	Total Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	168	146	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	644	543	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	92	89	$1K
99223	Prolong inpt eval add15 m	19	13	$1K
99222	Initial hospital care, per day, moderate complexity	19	13	$725.35
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	12	12	$383.82
3008F		34	30	$0.00
3074F		33	29	$0.00
1036F		16	13	$0.00
3079F		13	12	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	26	25	$0.00