Clinic
Jack County Hospital District
Jack County Hospital District was paid $1.44M by Medicaid between Jun 2019 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoJACK COUNTY HOSPITAL DISTRICT
JACKSBORO, TX 76458
JACKSBORO, TX 76458
33aNPI1013909936assigned 08/17/2005
33bProvider typeRural Health Clinic/Center
28Total paid$1.44M
24GClaims21,262
24DCodes billed23
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#49 of 225
Median peer was paid$428K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 627 | $55K | |
| 2020 | 929 | $72K | |
| 2021 | 5,605 | $356K | |
| 2022 | 6,244 | $335K | |
| 2023 | 5,297 | $397K | |
| 2024incomplete | 2,560 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 11,809 | 9,750 | $1.30M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 533 | 511 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 357 | 352 | $41K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,768 | 1,239 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 58 | 58 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 59 | 58 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 988 | 744 | $6K |
| 90686 | <1% | 184 | 178 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 870 | 802 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 304 | 254 | $966.29 |
| 90670 | <1% | 213 | 212 | $351.55 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 14 | 14 | $226.00 |
11 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,955 | $130.55 |
| 90677 | <1% | 90 | $123.03 | |
| 90698 | <1% | 28 | $116.09 | |
| 99318 | <1% | 13 | $88.50 | |
| 90461 | 0% | 844 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 15 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 90680 | 0% | 103 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 15 | $0.00 |
| 90697 | 0% | 16 | $0.00 |
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 officialLEE, KIM (COO)
| Provider | Location | Paid |
|---|---|---|
| Jack County Hospital District | Jacksboro, TX | $578K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.