NPI: 1548698608 · BRANDON, MS 39042 · Family Medicine Physician · NPI assigned 10/28/2013
| Authorized Official | SINCLAIR, JENNIFER (PRESIDENT OF SDMA) |
| Parent Organization | ST DOMINIC JACKSON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 10/28/2013 |
Other providers sharing the same authorized official: SINCLAIR, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| ST. DOMINIC HOSPITAL MEDICINE LLC | JACKSON | MS | $1.14M |
| ST DOMINIC MEDICAL ASSOCIATES | JACKSON | MS | $206K |
| ST DOMINIC MEDICAL ASSOCIATES, LLC | CLINTON | MS | $185K |
| ST DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $145K |
| ST DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $38K |
| ST DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $13K |
| ST DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $13K |
| ST DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $2K |
| ST. DOMINIC MEDICAL ASSOCIATES LLC | JACKSON | MS | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 500 | $33K |
| 2019 | 828 | $47K |
| 2020 | 395 | $23K |
| 2021 | 311 | $17K |
| 2022 | 128 | $9K |
| 2023 | 56 | $3K |
| 2024 | 57 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,742 | 1,524 | $123K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 117 | 109 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 218 | 101 | $3K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16 | 12 | $929.47 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 72 | 59 | $840.40 |
| 99442 | 17 | 16 | $499.08 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 23 | 12 | $450.20 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 45 | 38 | $81.81 |
| 36415 | Collection of venous blood by venipuncture | 25 | 25 | $51.78 |