PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

NPI: 1740859461 · PUNTA GORDA, FL 33950 · Nurse Practitioner · NPI assigned 06/18/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$70K

Total Medicaid Paid

1,871

Total Claims

1,436

Beneficiaries

Codes Billed

2022-05

First Month

2024-10

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SR DR PROV ENROLLMENT & ONLOADING)
NPI Enumeration Date	06/18/2021

Other providers sharing the same authorized official: JACKSON, JENNIFER

Provider	City	State	Total Paid
LAS CRUCES PHYSICIAN SERVICES LLC	LAS CRUCES	NM	$62.87M
ROSWELL CLINIC CORP	ROSWELL	NM	$14.65M
PECOS VALLEY OF NEW MEXICO, LLC	CARLSBAD	NM	$6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC	CORSICANA	TX	$4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC	FLOWOOD	MS	$2.83M
STATESVILLE HMA MEDICAL GROUP, LLC	STATESVILLE	NC	$2.68M
HEARTLAND COUNSELING SERVICES, INC.	SOUTH SIOUX CITY	NE	$2.31M
MOORESVILLE PPM LLC	MOORESVILLE	NC	$1.35M
SCRANTON QUINCY AMBULANCE LLC	SCRANTON	PA	$1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC	SPRING HILL	FL	$1.14M
INTERMOUNTAIN MEDICAL GROUP, INC	KINGSTON	PA	$1.09M
ROSWELL HOSPITAL CORPORATION	ROSWELL	NM	$714K
WOODWARD CLINIC COMPANY, LLC	WOODWARD	OK	$598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC	BILOXI	MS	$585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC	EL DORADO	AR	$495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC	CUDJOE KEY	FL	$406K
MOORESVILLE PPM LLC	MOORESVILLE	NC	$385K
HEARTLAND COUNSELING SERVICES, INC.	ONEILL	NE	$295K
NORTHWEST CARDIOLOGY LLC	TUCSON	AZ	$265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC	RONCEVERTE	WV	$224K

Code	Description	Claims	Beneficiaries	Total Paid
H1000	Prenatal care, at-risk assessment	1,224	847	$57K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	241	222	$7K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	42	42	$3K
59025	Fetal non-stress test	54	25	$2K
59430		14	14	$786.10
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	30	28	$131.02
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	13	13	$119.44
3078F		42	42	$0.00
1036F		59	59	$0.00
3074F		55	55	$0.00
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	18	17	$0.00
3008F		79	72	$0.00