JACKSON TARAVINE
Medical Physician Assistant · SURPRISE, AZ
Individual Active NPI 1811770910
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 53 | 2,141 | $107,965 | $58,021 | $46,228 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,023 | $3 | $2 |
| 29200 | Placement of strapping to chest | 262 | $21 | $17 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 192 | $75 | $60 |
| 95117 | Professional service for multiple injections of allergen | 174 | $10 | $8 |
| 76942 | Ultrasonic guidance for needle placement | 150 | $48 | $38 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 120 | $105 | $84 |
| 20610 | Aspiration and/or injection of fluid from large joint | 91 | $53 | $42 |
| 20553 | Injection of trigger points, 3 or more muscles | 41 | $50 | $40 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $137 | $109 |
| 94010 | Test to measure expiratory airflow and volume | 12 | $22 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | ✓ | 10227 | AZ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 70349500001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7939960001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 704516001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8220410001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Medical Physician Assistant providers in Arizona
- NPI 1346892056
- NPI 1528488442
- NPI 1164524211
- NPI 1659605921
- NPI 1346453487
- NPI 1497202584
- NPI 1538414909
- NPI 1760239875
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.