NPI: 1629181912 · PHILADELPHIA, PA 19104 · Internal Medicine Physician · NPI assigned 08/17/2006
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 08/17/2006 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $0.00 |
| 2020 | 761 | $25K |
| 2021 | 4,636 | $195K |
| 2022 | 4,574 | $232K |
| 2023 | 5,026 | $285K |
| 2024 | 2,977 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | Hemodialysis procedure with single evaluation by a physician | 11,758 | 4,628 | $555K |
| 99233 | Prolong inpt eval add15 m | 3,515 | 1,589 | $191K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 866 | 842 | $48K |
| 99215 | Prolong outpt/office vis | 577 | 554 | $43K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 356 | 199 | $17K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 315 | 222 | $6K |
| 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) | 588 | 569 | $4K |
| 99255 | 14 | 12 | $3K | |
| 99223 | Prolong inpt eval add15 m | 13 | 13 | $403.79 |