NPI: 1972682995 · RADNOR, PA 19087 · Family Medicine Physician · NPI assigned 11/02/2006
Authorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, CHANTE (ENROLLMENT LEAD) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: JACKSON, CHANTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 756 | $24K |
| 2019 | 837 | $41K |
| 2020 | 4,393 | $167K |
| 2021 | 24,514 | $822K |
| 2022 | 35,025 | $758K |
| 2023 | 25,667 | $810K |
| 2024 | 32,001 | $715K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36,177 | 33,840 | $2.09M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19,004 | 17,844 | $756K |
| 99215 | Prolong outpt/office vis | 1,420 | 1,308 | $89K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 876 | 836 | $61K |
| 90750 | 1,306 | 1,187 | $49K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 406 | 385 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4,400 | 4,105 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,251 | 1,228 | $35K |
| 90686 | 4,791 | 4,766 | $29K | |
| 90732 | 484 | 480 | $26K | |
| 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) | 1,922 | 1,746 | $20K |
| 90715 | 1,514 | 1,508 | $13K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 115 | 111 | $10K |
| 90651 | 497 | 486 | $9K | |
| 90682 | 352 | 311 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,412 | 691 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 572 | 531 | $7K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 73 | 70 | $6K |
| 90670 | 167 | 167 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 151 | 151 | $4K |
| 90688 | 552 | 552 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 784 | 763 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 142 | 138 | $3K |
| 99385 | 40 | 38 | $3K | |
| 86580 | 1,136 | 994 | $3K | |
| 3074F | 4,677 | 4,353 | $2K | |
| 3078F | 4,357 | 4,065 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 5,375 | 4,866 | $2K |
| 90662 | 206 | 202 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 53 | 51 | $2K |
| 82962 | 1,334 | 1,228 | $1K | |
| 90734 | 125 | 124 | $1K | |
| 3079F | 2,050 | 1,938 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 2,168 | 1,456 | $881.49 |
| 3044F | 2,733 | 2,343 | $880.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 87 | 84 | $761.60 |
| 90746 | 12 | 12 | $736.50 | |
| 90698 | 67 | 67 | $696.22 | |
| 90656 | 675 | 675 | $498.75 | |
| 90621 | 14 | 13 | $480.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13 | 13 | $451.88 |
| 3075F | 628 | 602 | $440.00 | |
| 3077F | 318 | 295 | $370.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 32 | 32 | $269.49 |
| 81002 | 34 | 33 | $141.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12 | 12 | $121.44 |
| 3080F | 99 | 92 | $90.00 | |
| 3051F | 18 | 14 | $10.00 | |
| 4010F | 950 | 759 | $0.00 | |
| 3008F | 13,580 | 11,668 | $0.00 | |
| 90677 | 773 | 764 | $0.00 | |
| 3048F | 1,324 | 1,161 | $0.00 | |
| 90673 | 124 | 119 | $0.00 | |
| 3060F | 161 | 133 | $0.00 | |
| 3061F | 595 | 482 | $0.00 | |
| 90480 | 60 | 51 | $0.00 | |
| 90619 | 18 | 18 | $0.00 | |
| 3050F | 188 | 161 | $0.00 | |
| 3062F | 584 | 498 | $0.00 | |
| 91322 | 192 | 191 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 13 | 13 | $0.00 |