NPI: 1790173805 · PHILADELPHIA, PA 19104 · Neuroradiology Physician · NPI assigned 12/26/2014
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLLMENT LEAD) |
| NPI Enumeration Date | 12/26/2014 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 30 | $3K |
| 2022 | 83 | $6K |
| 2023 | 105 | $8K |
| 2024 | 113 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36224 | 45 | 38 | $9K | |
| 99215 | Prolong outpt/office vis | 62 | 60 | $6K |
| 36226 | 15 | 12 | $5K | |
| 99205 | Prolong outpt/office vis | 27 | 26 | $3K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55 | 54 | $3K |
| 76937 | 114 | 90 | $1K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 13 | $968.42 |