JACKSON PRIMARY CARE LLC
NPI: 1619961380
· JACKSON, MO 63755
· 207V00000X
$173K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
906 |
$60K |
| 2019 |
1,174 |
$80K |
| 2020 |
451 |
$31K |
| 2021 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
2,372 |
2,045 |
$157K |
| 99213 |
|
214 |
194 |
$16K |