UNIVERSITY OF PENN-MEDICAL GROUP

NPI: 1982717641 · PHILADELPHIA, PA 19104 · Internal Medicine Physician · NPI assigned 08/16/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$548K

Total Medicaid Paid

8,803

Total Claims

8,011

Beneficiaries

Codes Billed

2020-11

First Month

2024-11

Last Month

Provider Details

Authorized Official	JACKSON, CHANTE (ENROLLMENT LEAD)
NPI Enumeration Date	08/16/2006

Other providers sharing the same authorized official: JACKSON, CHANTE

Provider	City	State	Total Paid
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$21.49M
UNIVERSITY OF PENN-MEDICAL GROUP	PHILADELPHIA	PA	$17.70M
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST	BALA CYNWYD	PA	$9.38M
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

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4,559	4,426	$286K
99215	Prolong outpt/office vis	2,127	2,046	$185K
99233	Prolong inpt eval add15 m	426	146	$32K
99232	Subsequent hospital care, per day, moderate complexity	413	157	$25K
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)	1,168	1,129	$8K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	39	39	$5K
99223	Prolong inpt eval add15 m	16	16	$3K
99205	Prolong outpt/office vis	13	13	$2K
99238	Hospital discharge day management, 30 minutes or less	28	26	$1K
76882		14	13	$289.72