Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JDPREMIUM HEALTHCARE, LLC

NPI: 1538557608 · PENSACOLA, FL 32501 · Registered Nurse · NPI assigned 12/24/2014

$25K
Total Medicaid Paid
842
Total Claims
768
Beneficiaries
7
Codes Billed
2019-02
First Month
2024-06
Last Month

Provider Details

Authorized OfficialJACKSON, LADAYSHA (CEO)
NPI Enumeration Date12/24/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 444 $14K
2020 144 $6K
2021 76 $2K
2022 12 $320.59
2023 97 $1K
2024 69 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 585 524 $19K
G0444 Annual depression screening, 5 to 15 minutes 37 37 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 109 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $490.46
36415 Collection of venous blood by venipuncture 56 51 $322.19
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 15 $78.28
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00