Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON HOSPITAL & CLINIC, INC.

NPI: 1043262488 · MONTGOMERY, AL 36106 · Pharmacy · NPI assigned 05/16/2006

$8.94M
Total Medicaid Paid
429,867
Total Claims
373,506
Beneficiaries
112
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANN, RICHARD (PRESIDENT)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: MANN, RICHARD

ProviderCityStateTotal Paid
RIVER HILLS EMERGENCY SQUAD INC LAKE WYLIE SC $27K
JACKSON HOSPITAL AND CLINIC INC. MONTGOMERY AL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,493 $1.17M
2019 85,285 $1.37M
2020 56,049 $979K
2021 71,243 $1.32M
2022 61,870 $1.52M
2023 55,351 $1.60M
2024 36,576 $968K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 37,908 34,066 $2.46M
99283 Emergency department visit for the evaluation and management, moderate severity 48,265 44,607 $1.93M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 31,966 24,960 $892K
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,353 12,541 $575K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 7,948 7,514 $397K
80053 Comprehensive metabolic panel 27,961 24,775 $297K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,587 4,667 $248K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,671 5,340 $246K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,071 19,942 $180K
81001 33,667 30,087 $133K
70450 Computed tomography, head or brain; without contrast material 1,382 1,287 $132K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 483 392 $98K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,472 5,225 $89K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,742 7,611 $85K
81025 24,590 22,267 $81K
74022 3,723 3,410 $81K
71046 Radiologic examination, chest; 2 views 5,934 5,443 $62K
71045 Radiologic examination, chest; single view 12,441 11,058 $62K
84484 7,216 5,888 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,511 649 $54K
83690 7,842 7,059 $52K
82150 7,082 6,348 $47K
82553 3,903 3,266 $46K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 364 359 $43K
87070 2,726 2,623 $35K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,642 473 $33K
82550 4,568 3,923 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,001 945 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,473 6,081 $25K
87807 2,026 1,914 $25K
87086 Culture, bacterial; quantitative colony count, urine 2,174 1,974 $23K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 232 108 $23K
83735 3,684 3,196 $22K
85610 5,566 4,786 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material 130 117 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,004 273 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 239 213 $18K
84443 Thyroid stimulating hormone (TSH) 1,286 1,120 $18K
97161 373 323 $16K
97010 1,473 445 $14K
59025 Fetal non-stress test 3,371 2,152 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 525 502 $13K
83880 517 448 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 139 136 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,282 8,437 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,517 6,031 $11K
85730 5,497 4,727 $10K
76830 Ultrasound, transvaginal 507 445 $10K
72125 Computed tomography, cervical spine; without contrast material 93 86 $10K
84702 769 687 $9K
76801 403 379 $9K
86850 1,284 1,163 $7K
82607 558 469 $7K
81002 1,995 1,631 $6K
90715 223 216 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 39 $6K
82746 543 460 $5K
97014 586 197 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 189 181 $5K
86900 1,491 1,163 $5K
86901 1,491 1,163 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 163 146 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 230 216 $3K
G0378 Hospital observation service, per hour 83 42 $3K
80048 Basic metabolic panel (calcium, ionized) 317 281 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,272 2,096 $2K
36415 Collection of venous blood by venipuncture 2,037 1,592 $2K
86592 453 374 $2K
80047 520 454 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 310 277 $2K
87400 139 138 $2K
80076 332 294 $2K
85018 993 852 $2K
93041 670 564 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 45 38 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,612 3,220 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,769 5,175 $1K
74018 132 119 $1K
51728 14 12 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 529 491 $907.62
72110 46 37 $830.50
90686 37 37 $666.05
83036 Hemoglobin; glycosylated (A1C) 143 118 $659.90
96375 Therapeutic injection; each additional sequential IV push 2,667 2,362 $584.96
87210 81 78 $498.14
76818 26 12 $485.37
82009 358 278 $483.36
73564 26 24 $413.60
93922 42 27 $404.48
96361 Intravenous infusion, hydration; each additional hour 1,689 1,546 $323.43
85014 541 471 $245.25
73610 12 12 $200.10
85379 16 13 $145.99
87040 30 12 $141.54
87088 17 14 $131.12
87186 17 14 $121.32
82728 14 13 $112.10
85027 28 25 $102.03
J2270 Injection, morphine sulfate, up to 10 mg 36 36 $97.41
51797 13 12 $94.36
85007 27 24 $91.26
51784 14 13 $89.84
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,195 1,863 $84.00
86140 15 13 $19.98
82962 689 482 $3.26
J7050 Infusion, normal saline solution, 250 cc 414 372 $2.80
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 149 132 $0.00
99243 125 103 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 261 247 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 685 631 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 37 37 $0.00
J7510 Prednisolone oral, per 5 mg 84 80 $0.00