Supplier
Jack Justice
Jack Justice was paid $21K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 54% of everything it billed.
33Billing provider infoJACK JUSTICE
PAULS VALLEY, OK 73075
PAULS VALLEY, OK 73075
33aNPI1013074111assigned 01/02/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$21K
24GClaims1,581
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Oklahoma
Rank by total paid#116 of 166
Median peer was paid$146K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 646 | $4K | |
| 2019 | 276 | $3K | |
| 2020 | 119 | $662.45 | |
| 2021 | 95 | $4K | |
| 2022 | 176 | $4K | |
| 2023 | 245 | $4K | |
| 2024incomplete | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 54% | 380 | 380 | $11K |
| E0570 | Nebulizer, with compressor | 24% | 501 | 501 | $5K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 11% | 362 | 357 | $2K |
| A4335 | Incontinence supply; miscellaneous | 5.4% | 93 | 65 | $1K |
| E1392 | Portable oxygen concentrator, rental | 3.1% | 67 | 67 | $649.95 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 1.2% | 24 | 24 | $241.42 |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 91 | 91 | $88.51 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 37 | 37 | $73.99 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | 13 | $51.15 |
| K0001 | Standard wheelchair | <1% | 12 | 12 | $50.37 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJUSTICE, JACK (OWNER PHARMACIST)