NPI: 1639407737 · STATESVILLE, NC 28625 · Family Medicine Physician · NPI assigned 12/01/2009
Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Parent Organization | STATESVILLE HMA MEDICAL GROUP LLC |
| NPI Enumeration Date | 12/01/2009 |
Other providers sharing the same authorized official: JACKSON, JENNIFER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,934 | $458K |
| 2019 | 18,945 | $741K |
| 2020 | 14,914 | $572K |
| 2021 | 46,204 | $527K |
| 2022 | 51,456 | $325K |
| 2023 | 9,071 | $26K |
| 2024 | 8,772 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17,494 | 12,441 | $906K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14,888 | 9,435 | $532K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,624 | 2,271 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,888 | 1,662 | $163K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,012 | 2,672 | $148K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 3,219 | 1,052 | $108K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1,349 | 1,236 | $93K |
| 99199 | Unlisted special service, procedure or report | 26,964 | 26,500 | $87K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 701 | 367 | $52K |
| 99238 | Hospital discharge day management, 30 minutes or less | 838 | 703 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,600 | 1,120 | $36K |
| 99460 | 546 | 461 | $29K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 491 | 384 | $26K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 314 | 218 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3,107 | 2,687 | $22K |
| 76819 | Fetal biophysical profile; without non-stress testing | 411 | 159 | $20K |
| 93351 | 262 | 171 | $18K | |
| 99221 | 313 | 256 | $15K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 13 | 12 | $15K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 402 | 198 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 766 | 270 | $12K |
| 59426 | 21 | 19 | $10K | |
| 96160 | 2,443 | 2,189 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 146 | 68 | $8K |
| 93000 | 1,154 | 1,036 | $8K | |
| 83655 | 537 | 476 | $7K | |
| 59025 | Fetal non-stress test | 337 | 201 | $5K |
| 99215 | Prolong outpt/office vis | 50 | 46 | $5K |
| 81025 | 883 | 477 | $4K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 112 | 98 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 69 | 38 | $3K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 43 | 27 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 200 | 155 | $3K |
| 96161 | 694 | 654 | $2K | |
| 99462 | 129 | 83 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 958 | 588 | $2K |
| 90474 | 110 | 97 | $2K | |
| 81001 | 1,584 | 1,062 | $2K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 16 | 13 | $2K |
| 20610 | 62 | 40 | $2K | |
| 76801 | 17 | 15 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 90 | 81 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 443 | 396 | $1K |
| 87807 | 101 | 64 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 16 | 13 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 170 | 108 | $1K |
| 99443 | 13 | 12 | $906.91 | |
| 99222 | Initial hospital care, per day, moderate complexity | 14 | 12 | $883.16 |
| 51798 | 174 | 90 | $540.49 | |
| D0145 | Oral evaluation for a patient under three years of age | 15 | 15 | $518.25 |
| 80305 | 272 | 96 | $508.15 | |
| 81003 | 417 | 206 | $486.28 | |
| 96127 | 128 | 116 | $482.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 30 | 30 | $409.77 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 88 | 65 | $284.49 |
| D1206 | Topical application of fluoride varnish | 15 | 15 | $228.75 |
| 85018 | 520 | 469 | $134.22 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 12 | 12 | $101.80 |
| 86703 | 21 | 13 | $74.83 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 55 | 32 | $63.02 |
| 80061 | Lipid panel | 23 | 14 | $55.19 |
| 80053 | Comprehensive metabolic panel | 23 | 14 | $44.42 |
| 86592 | 22 | 13 | $21.60 | |
| 1036F | 9,957 | 5,468 | $0.00 | |
| 90680 | 1,079 | 1,020 | $0.00 | |
| 90698 | 1,571 | 1,481 | $0.00 | |
| 1125F | 1,779 | 1,196 | $0.00 | |
| 3074F | 8,890 | 4,899 | $0.00 | |
| 3008F | 11,929 | 6,752 | $0.00 | |
| 1126F | 650 | 460 | $0.00 | |
| 3079F | 2,262 | 1,398 | $0.00 | |
| 90744 | 740 | 707 | $0.00 | |
| 1034F | 1,280 | 854 | $0.00 | |
| 0501F | 43 | 27 | $0.00 | |
| 3075F | 229 | 162 | $0.00 | |
| 90716 | 59 | 57 | $0.00 | |
| 3080F | 205 | 140 | $0.00 | |
| 90686 | 291 | 248 | $0.00 | |
| 92551 | 13 | 12 | $0.00 | |
| 99024 | 13 | 13 | $0.00 | |
| 90688 | 13 | 13 | $0.00 | |
| 90685 | 95 | 90 | $0.00 | |
| 90633 | 485 | 413 | $0.00 | |
| 3078F | 6,846 | 3,895 | $0.00 | |
| 1159F | 10,246 | 5,771 | $0.00 | |
| 90670 | 1,611 | 1,511 | $0.00 | |
| 0502F | 2,769 | 1,448 | $0.00 | |
| 1160F | 12,138 | 6,927 | $0.00 | |
| 99173 | 92 | 81 | $0.00 | |
| 3077F | 352 | 239 | $0.00 | |
| 3725F | 185 | 118 | $0.00 | |
| 90707 | 45 | 44 | $0.00 |