JACKSON COUNTY

Public Health & General Preventive Medicine Physician · JACKSON, MI

Organization Active NPI 1780692400

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202476264$19,997$19,597$19,597
2023120332$22,846$22,390$22,390
2022164347$15,131$14,478$14,478

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose66$32$32
91320Sarscv2 vac 30mcg trs-suc im66$146$146
90662Influenza vaccine split virus, preservative free63$81$81
G0008Administration of influenza virus vaccine63$31$31

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Public Health & General Preventive Medicine Physician2083P0901X
Internal Medicine Physician207R00000X
Public Health or Welfare Agency251K00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.