Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST

NPI: 1790737468 · BALA CYNWYD, PA 19004 · Neurology Physician · NPI assigned 05/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$9.38M
Total Medicaid Paid
148,410
Total Claims
121,609
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, CHANTE (ENROLLMENT LEAD)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, CHANTE

ProviderCityStateTotal Paid
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $21.49M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $17.70M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $3.74M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $3.61M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH RADNOR PA $3.34M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $3.21M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $2.45M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST PHILADELPHIA PA $1.64M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.55M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.42M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.33M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.30M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.14M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.09M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $988K
UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA $981K
UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA $867K
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $865K
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $855K
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA PA $720K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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