NPI: 1568579266 · PHILADELPHIA, PA 19104 · Internal Medicine Physician · NPI assigned 08/25/2006
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 08/25/2006 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 116 | $8K |
| 2021 | 613 | $29K |
| 2022 | 1,167 | $71K |
| 2023 | 967 | $69K |
| 2024 | 986 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,838 | 1,754 | $121K |
| 99215 | Prolong outpt/office vis | 540 | 515 | $46K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 658 | 262 | $38K |
| 99254 | 66 | 65 | $9K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 460 | 449 | $3K |
| 95251 | 115 | 110 | $3K | |
| 82962 | 158 | 153 | $358.57 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 14 | 14 | $107.37 |