Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Montgomery › NPI 1043262488
Supplier

Jackson Hospital & Clinic, INC.

Jackson Hospital & Clinic, INC. was paid $8.94M by Medicaid between Jan 2018 and Nov 2024, across 112 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.

33Billing provider infoJACKSON HOSPITAL & CLINIC, INC.
MONTGOMERY, AL 36106
33aNPI1043262488assigned 05/16/2006
33bProvider typePharmacy
28Total paid$8.94M
24GClaims429,867
24DCodes billed112
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pharmacy providers in Alabama

Rank by total paid#1 of 21
Median peer was paid$6K
This provider vs. median1,591×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201863,493$1.17M
201985,285$1.37M
202056,049$979K
202171,243$1.32M
202261,870$1.52M
202355,351$1.60M
2024incomplete36,576$968K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 37,908 34,066 $2.46M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 48,265 44,607 $1.93M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 10.0% 31,966 24,960 $892K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6.4% 13,353 12,541 $575K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4.4% 7,948 7,514 $397K
80053 Comprehensive metabolic panel 3.3% 27,961 24,775 $297K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.8% 6,587 4,667 $248K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.8% 5,671 5,340 $246K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 24,071 19,942 $180K
81001 1.5% 33,667 30,087 $133K
70450 Computed tomography, head or brain; without contrast material 1.5% 1,382 1,287 $132K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.1% 483 392 $98K
100 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,472 $89K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,742 $85K
81025 <1% 24,590 $81K
74022 <1% 3,723 $81K
71046 Radiologic examination, chest; 2 views <1% 5,934 $62K
71045 Radiologic examination, chest; single view <1% 12,441 $62K
84484 <1% 7,216 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,511 $54K
83690 <1% 7,842 $52K
82150 <1% 7,082 $47K
82553 <1% 3,903 $46K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 364 $43K
87070 <1% 2,726 $35K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,642 $33K
82550 <1% 4,568 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,001 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,473 $25K
87807 <1% 2,026 $25K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,174 $23K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 232 $23K
83735 <1% 3,684 $22K
85610 <1% 5,566 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 130 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,004 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 239 $18K
84443 Thyroid stimulating hormone (TSH) <1% 1,286 $18K
97161 <1% 373 $16K
97010 <1% 1,473 $14K
59025 Fetal non-stress test <1% 3,371 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 525 $13K
83880 <1% 517 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 139 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,282 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,517 $11K
85730 <1% 5,497 $10K
76830 Ultrasound, transvaginal <1% 507 $10K
72125 Computed tomography, cervical spine; without contrast material <1% 93 $10K
84702 <1% 769 $9K
76801 <1% 403 $9K
86850 <1% 1,284 $7K
82607 <1% 558 $7K
81002 <1% 1,995 $6K
90715 <1% 223 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 54 $6K
82746 <1% 543 $5K
97014 <1% 586 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 189 $5K
86900 <1% 1,491 $5K
86901 <1% 1,491 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 163 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 230 $3K
G0378 Hospital observation service, per hour <1% 83 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 317 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,272 $2K
36415 Collection of venous blood by venipuncture <1% 2,037 $2K
86592 <1% 453 $2K
80047 <1% 520 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 310 $2K
87400 <1% 139 $2K
80076 <1% 332 $2K
85018 <1% 993 $2K
93041 <1% 670 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 45 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,612 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,769 $1K
74018 <1% 132 $1K
51728 <1% 14 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 529 $907.62
72110 <1% 46 $830.50
90686 <1% 37 $666.05
83036 Hemoglobin; glycosylated (A1C) <1% 143 $659.90
96375 Therapeutic injection; each additional sequential IV push <1% 2,667 $584.96
87210 <1% 81 $498.14
76818 <1% 26 $485.37
82009 <1% 358 $483.36
73564 <1% 26 $413.60
93922 <1% 42 $404.48
96361 Intravenous infusion, hydration; each additional hour <1% 1,689 $323.43
85014 <1% 541 $245.25
73610 <1% 12 $200.10
85379 <1% 16 $145.99
87040 <1% 30 $141.54
87088 <1% 17 $131.12
87186 <1% 17 $121.32
82728 <1% 14 $112.10
85027 <1% 28 $102.03
J2270 Injection, morphine sulfate, up to 10 mg <1% 36 $97.41
51797 <1% 13 $94.36
85007 <1% 27 $91.26
51784 <1% 14 $89.84
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,195 $84.00
86140 <1% 15 $19.98
82962 <1% 689 $3.26
J7050 Infusion, normal saline solution, 250 cc <1% 414 $2.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 149 $0.00
99243 0% 125 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 261 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 685 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 0% 37 $0.00
J7510 Prednisolone oral, per 5 mg 0% 84 $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 officialMANN, RICHARD (PRESIDENT)
Same official

Other billing entities under MANN, RICHARD

Full network →
ProviderLocationPaid
River Hills Emergency Squad INCLake Wylie, SC$27K
Jackson Hospital and Clinic INC.Montgomery, AL$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.