E JACKSON ST EMERGENCY PHYSICIANS LLC
NPI: 1932398773
· DILLON, SC 29536
· Emergency Medicine Physician
· NPI assigned 10/17/2007
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | BRYNE, GREGORY (PRESIDENT) |
| NPI Enumeration Date | 10/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,632 |
$877K |
| 2019 |
8,894 |
$573K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,761 |
4,493 |
$513K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,930 |
6,535 |
$504K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,835 |
10,246 |
$433K |