NPI: 1790737468 · BALA CYNWYD, PA 19004 · Neurology Physician · NPI assigned 05/17/2006
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 05/17/2006 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 499 | $13K |
| 2020 | 8,035 | $547K |
| 2021 | 45,062 | $3.12M |
| 2022 | 40,029 | $2.49M |
| 2023 | 29,820 | $1.73M |
| 2024 | 24,965 | $1.49M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44,795 | 38,392 | $3.17M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 18,614 | 17,745 | $1.35M |
| 99233 | Prolong inpt eval add15 m | 16,175 | 6,163 | $919K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 10,354 | 4,329 | $606K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6,470 | 6,242 | $531K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 383 | 381 | $524K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,429 | 7,205 | $494K |
| 99223 | Prolong inpt eval add15 m | 1,613 | 1,560 | $187K |
| 59514 | 88 | 84 | $134K | |
| 54150 | 1,161 | 1,121 | $129K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,642 | 2,519 | $119K |
| 99215 | Prolong outpt/office vis | 1,106 | 1,077 | $110K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2,511 | 2,460 | $107K |
| 0502F | 10,655 | 8,479 | $106K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,963 | 1,942 | $101K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2,097 | 2,051 | $88K |
| T1001 | Nursing assessment / evaluation | 451 | 443 | $88K |
| 59430 | 613 | 602 | $82K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 438 | 433 | $73K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2,851 | 2,817 | $67K |
| 64615 | 271 | 266 | $32K | |
| 99429 | 283 | 282 | $31K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 226 | 222 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,719 | 1,674 | $25K |
| S9083 | Global fee urgent care centers | 171 | 170 | $23K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 1,062 | 1,049 | $21K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 406 | 405 | $20K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 235 | 233 | $20K |
| 90715 | 2,354 | 2,317 | $18K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 52 | 52 | $17K |
| 59025 | Fetal non-stress test | 777 | 717 | $16K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 44 | 38 | $15K |
| 99385 | 229 | 228 | $13K | |
| 99205 | Prolong outpt/office vis | 83 | 81 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | 105 | 104 | $10K |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 185 | 178 | $9K |
| 99254 | 63 | 63 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 483 | 477 | $8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 414 | 413 | $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) | 852 | 844 | $7K |
| 90686 | 970 | 967 | $7K | |
| 99220 | 69 | 66 | $7K | |
| T1016 | Case management, each 15 minutes | 848 | 816 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 145 | 139 | $5K |
| 95251 | 113 | 112 | $4K | |
| 0500F | 373 | 372 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 63 | 62 | $3K |
| 99217 | 59 | 56 | $2K | |
| 81002 | 868 | 777 | $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 | 100 | 98 | $2K |
| 82962 | 759 | 731 | $2K | |
| 99386 | 26 | 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) | 79 | 54 | $1K |
| 94010 | 85 | 82 | $1K | |
| 0503F | 88 | 88 | $860.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | 13 | $805.84 |
| 99459 | 47 | 47 | $786.50 | |
| 92250 | 12 | 12 | $775.05 | |
| 3725F | 53 | 52 | $490.00 | |
| 90656 | 106 | 106 | $254.70 | |
| 90651 | 702 | 676 | $246.47 | |
| 87210 | 30 | 30 | $166.54 | |
| 3008F | 336 | 326 | $0.00 | |
| G9920 | Screening performed and negative | 13 | 13 | $0.00 |
| 3078F | 30 | 30 | $0.00 |