Physician
Clinical Care Associates of the University of Pennsylvania Health Syst
Clinical Care Associates of the University of Pennsylvania Health Syst was paid $9.38M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoCLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
BALA CYNWYD, PA 19004
BALA CYNWYD, PA 19004
33aNPI1790737468assigned 05/17/2006
33bProvider typeNeurology Physician
28Total paid$9.38M
24GClaims148,410
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#1 of 165
Median peer was paid$5K
This provider vs. median1,712×
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, CHANTE 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 | 499 | $13K | |
| 2020 | 8,035 | $547K | |
| 2021 | 45,062 | $3.12M | |
| 2022 | 40,029 | $2.49M | |
| 2023 | 29,820 | $1.73M | |
| 2024incomplete | 24,965 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 44,795 | 38,392 | $3.17M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 18,614 | 17,745 | $1.35M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.8% | 16,175 | 6,163 | $919K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.5% | 10,354 | 4,329 | $606K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.7% | 6,470 | 6,242 | $531K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.6% | 383 | 381 | $524K |
| 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 | 5.3% | 7,429 | 7,205 | $494K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 1,613 | 1,560 | $187K |
| 59514 | 1.4% | 88 | 84 | $134K | |
| 54150 | 1.4% | 1,161 | 1,121 | $129K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 2,642 | 2,519 | $119K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 1,106 | 1,077 | $110K |
53 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 2,511 | $107K |
| 0502F | 1.1% | 10,655 | $106K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 1,963 | $101K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,097 | $88K |
| T1001 | Nursing assessment / evaluation | <1% | 451 | $88K |
| 59430 | <1% | 613 | $82K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 438 | $73K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,851 | $67K |
| 64615 | <1% | 271 | $32K | |
| 99429 | <1% | 283 | $31K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 226 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,719 | $25K |
| S9083 | Global fee urgent care centers | <1% | 171 | $23K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 1,062 | $21K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 406 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 235 | $20K |
| 90715 | <1% | 2,354 | $18K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 52 | $17K |
| 59025 | Fetal non-stress test | <1% | 777 | $16K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 44 | $15K |
| 99385 | <1% | 229 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 83 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 105 | $10K |
| 99283 | Emergency room visit (moderate) | <1% | 185 | $9K |
| 99254 | <1% | 63 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 483 | $8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 414 | $8K |
| 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% | 852 | $7K |
| 90686 | <1% | 970 | $7K | |
| 99220 | <1% | 69 | $7K | |
| T1016 | Case management, each 15 minutes | <1% | 848 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 145 | $5K |
| 95251 | <1% | 113 | $4K | |
| 0500F | <1% | 373 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 63 | $3K |
| 99217 | <1% | 59 | $2K | |
| 81002 | <1% | 868 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 100 | $2K |
| 82962 | <1% | 759 | $2K | |
| 99386 | <1% | 26 | $2K | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 79 | $1K |
| 94010 | <1% | 85 | $1K | |
| 0503F | <1% | 88 | $860.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $805.84 |
| 99459 | <1% | 47 | $786.50 | |
| 92250 | <1% | 12 | $775.05 | |
| 3725F | <1% | 53 | $490.00 | |
| 90656 | <1% | 106 | $254.70 | |
| 90651 | <1% | 702 | $246.47 | |
| 87210 | <1% | 30 | $166.54 | |
| 3008F | 0% | 336 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 13 | $0.00 |
| 3078F | 0% | 30 | $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, CHANTE (ENROLLMENT LEAD)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.