Physician
Mooresville PPM LLC
Mooresville PPM LLC was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoMOORESVILLE PPM LLC
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
33aNPI1700028982assigned 04/02/2009
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$1.35M
24GClaims140,569
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in North Carolina
Rank by total paid#1 of 7
Median peer was paid$23K
This provider vs. median58×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,759 | $85K | |
| 2019 | 2,463 | $134K | |
| 2020 | 1,590 | $86K | |
| 2021 | 19,018 | $173K | |
| 2022 | 30,165 | $250K | |
| 2023 | 36,413 | $320K | |
| 2024incomplete | 48,161 | $301K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 68% | 15,083 | 10,850 | $913K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,316 | 5,102 | $302K |
| 99199 | Unlisted special service, procedure or report | 7.3% | 35,510 | 35,213 | $99K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 123 | 85 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 68 | 52 | $5K |
| 99460 | <1% | 82 | 60 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 69 | 53 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 234 | 77 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 19 | 12 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 14 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 41 | 24 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 904 | 654 | $2K |
31 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 131 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 46 | $1K |
| 72100 | <1% | 72 | $1K | |
| 82947 | <1% | 285 | $535.28 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 21 | $463.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 171 | $448.97 |
| 92083 | <1% | 12 | $358.14 | |
| 87807 | <1% | 38 | $351.77 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $308.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $242.40 |
| 72040 | <1% | 13 | $237.35 | |
| 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) | <1% | 36 | $123.69 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 23 | $59.04 |
| 81003 | <1% | 14 | $28.30 | |
| 1036F | <1% | 16,680 | $25.01 | |
| 3078F | <1% | 9,408 | $7.12 | |
| 3080F | <1% | 94 | $1.64 | |
| 99173 | <1% | 22 | $1.00 | |
| 1159F | 0% | 5,239 | $0.00 | |
| 1160F | 0% | 6,350 | $0.00 | |
| 3077F | 0% | 146 | $0.00 | |
| 3725F | 0% | 13 | $0.00 | |
| 3074F | 0% | 13,239 | $0.00 | |
| 3008F | 0% | 21,494 | $0.00 | |
| 3079F | 0% | 2,304 | $0.00 | |
| 1034F | 0% | 1,906 | $0.00 | |
| 3075F | 0% | 148 | $0.00 | |
| 1126F | 0% | 2,131 | $0.00 | |
| 1125F | 0% | 940 | $0.00 | |
| 99024 | 0% | 15 | $0.00 | |
| 90686 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)
Parent organizationMOORESVILLE PPM LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.