JACKSON PRIMARY CARE LLC
NPI: 1619961380
· JACKSON, MO 63755
· Obstetrics & Gynecology Physician
· NPI assigned 09/08/2005
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | SIEMER, DEANNA (OWNER) |
| NPI Enumeration Date | 09/08/2005 |
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 visit/encounter, all-inclusive |
2,372 |
2,045 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
194 |
$16K |