NPI: 1528097672 · ROSE CITY, MI 48654 · Family Medicine Physician · NPI assigned 07/01/2006
Authorized official JACKS PORTER, DANIELLE controls 11+ related entities in our dataset. Read more
| Authorized Official | JACKS PORTER, DANIELLE (VP/CFO) |
| NPI Enumeration Date | 07/01/2006 |
Other providers sharing the same authorized official: JACKS PORTER, DANIELLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| MCLAREN BAY REGION | BAY CITY | MI | $31.72M |
| MCLAREN BAY REGION | BAY CITY | MI | $9.34M |
| MCLAREN BAY REGION | BAY CITY | MI | $937K |
| MCLAREN BAY REGION | ESSEXVILLE | MI | $288K |
| MCLAREN PRIMARY CARE | WEST BRANCH | MI | $250K |
| MCLAREN PRIMARY CARE | SAINT HELEN | MI | $115K |
| MCLAREN BAY REGION | SAGINAW | MI | $101K |
| MCLAREN PRIMARY CARE | ALGER | MI | $99K |
| MCLAREN PRIMARY CARE | MIO | MI | $67K |
| MCLAREN BAY REGION | BAY CITY | MI | $40K |
| MCLAREN PRIMARY CARE | WEST BRANCH | MI | $14K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,283 | $21K |
| 2019 | 977 | $13K |
| 2020 | 524 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,148 | 1,030 | $20K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 463 | 424 | $12K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 245 | 225 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15 | 14 | $329.68 |
| 90686 | 16 | 16 | $266.42 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16 | 16 | $98.00 |
| 3008F | 881 | 818 | $0.00 |