MOORESVILLE PPM LLC

NPI: 1861769119 · MOORESVILLE, NC 28117 · Family Medicine Physician · NPI assigned 11/30/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$132K

Total Medicaid Paid

35,913

Total Claims

34,846

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)
Parent Organization	MOORESVILLE PPM LLC
NPI Enumeration Date	11/30/2011

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
99199	Unlisted special service, procedure or report	35,345	34,369	$118K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	143	126	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	90	80	$5K
1160F		89	77	$0.00
1159F		34	31	$0.00
1036F		37	28	$0.00
3079F		36	26	$0.00
3074F		59	45	$0.00
3008F		80	64	$0.00