NPI: 1598186157 · JACKSON, MO 63755 · Family Medicine Physician · NPI assigned 12/30/2013
Authorized official DAVISON, JUSTIN controls 19+ related entities in our dataset. Read more
| Authorized Official | DAVISON, JUSTIN (CFO) |
| NPI Enumeration Date | 12/30/2013 |
Other providers sharing the same authorized official: DAVISON, JUSTIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $56.42M |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $7.48M |
| SAINT FRANCIS MEDICAL CENTER | SIKESTON | MO | $4.71M |
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $2.14M |
| SAINT FRANCIS MEDICAL CENTER | PIEDMONT | MO | $2.10M |
| SAINT FRANCIS MEDICAL CENTER | DEXTER | MO | $1.08M |
| SAINT FRANCIS MEDICAL CENTER | EAST PRAIRIE | MO | $1.08M |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $961K |
| SAINT FRANCIS MEDICAL CENTER | POPLAR BLUFF | MO | $903K |
| SAINT FRANCIS MEDICAL CENTER | SIKESTON | MO | $530K |
| SAINT FRANCIS MEDICAL CENTER | CHARLESTON | MO | $484K |
| SAINT FRANCIS MEDICAL CENTER | SCOTT CITY | MO | $288K |
| SAINT FRANCIS MEDICAL CENTER | JACKSON | MO | $177K |
| SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | MO | $106K |
| SAINT FRANCIS MEDICAL CENTER | DEXTER | MO | $56K |
| SAINT FRANCIS MEDICAL CENTER | JACKSON | MO | $37K |
| SAINT FRANCIS MEDICAL CENTER | CHARLESTON | MO | $17K |
| SAINT FRANCIS MEDICAL CENTER | EAST PRAIRIE | MO | $14K |
| SAINT FRANCIS MEDICAL CENTER | SCOTT CITY | MO | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 645 | $44K |
| 2019 | 444 | $31K |
| 2020 | 150 | $11K |
| 2021 | 285 | $14K |
| 2022 | 892 | $46K |
| 2023 | 1,301 | $79K |
| 2024 | 1,326 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,449 | 3,059 | $239K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1,366 | 1,352 | $65K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 155 | 150 | $5K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16 | 15 | $798.20 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 41 | 41 | $723.77 |
| 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) | 16 | 15 | $0.00 |