JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC

NPI: 1922392497 · RICHMOND, VA 23223 · Community/Retail Pharmacy · NPI assigned 06/02/2011

$18.38

Total Medicaid Paid

577

Total Claims

379

Beneficiaries

Codes Billed

2021-06

First Month

2022-04

Last Month

Provider Details

Authorized Official	CHEN, MARY (AUTHORIZED OFFICIAL)
NPI Enumeration Date	06/02/2011

Other providers sharing the same authorized official: CHEN, MARY

Provider	City	State	Total Paid
PMR VIRGINIA HOLDING, LLC	MIAMI GARDENS	FL	$79K
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC	MIAMI	FL	$6K
DEDICATED PENNSYLVANIA HOLDING, LLC	PHILADELPHIA	PA	$6K
MARY CHEN MD INC	WALNUT	CA	$971.60
JENCARE NEIGHBORHOOD MEDICAL NEW MARKET, LLC	NEWPORT NEWS	VA	$450.12
PMR VIRGINIA HOLDING, LLC	HAMPTON	VA	$187.35
DEDICATED PHYSICIANS GROUP OF TEXAS PLLC	MIAMI GARDENS	FL	$106.43
JENCARE NEIGHBORHOOD MEDICAL CENTER VIRGINIA BEACH LLC	VIRGINIA BEACH	VA	$0.00
DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC	MIAMI GARDENS	FL	$0.00

Year	Claims	Total Paid
2021	261	$18.38
2022	316	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	93	50	$18.38
1111F		72	51	$0.00
1159F		206	139	$0.00
1160F		206	139	$0.00