Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Frankston › NPI 1043719560
Clinic

Jacksonville Hospital LLC

Jacksonville Hospital LLC was paid $677K by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoJACKSONVILLE HOSPITAL LLC
FRANKSTON, TX 75763
33aNPI1043719560assigned 02/10/2018
28Total paid$677K
24GClaims4,459
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Texas

Rank by total paid#97 of 225
Median peer was paid$428K
This provider vs. median1.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
202063$10K
20211,995$284K
20221,633$235K
2023524$92K
2024incomplete244$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 99% 3,934 3,541 $668K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 34 31 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 17 15 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $1K
99307 <1% 166 166 $624.21
90460 Immunization administration through 18 years of age via any route, first or only component <1% 179 109 $177.95
90461 0% 76 44 $0.00
90670 0% 13 13 $0.00
3078F 0% 14 13 $0.00
3074F 0% 14 14 $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 officialPETROVICH, STEPHEN (EVP)
Parent organizationAHS EAST TEXAS HEALTH SYSTEM, LLC
Same official

Other billing entities under PETROVICH, STEPHEN

Full network →
ProviderLocationPaid
Lovelace Health System, LLCAlbuquerque, NM$57.71M
Lovelace Health System LLCAlbuquerque, NM$45.27M
Southwest Medical Associates, LLCAlbuquerque, NM$41.40M
Lovelace Health System, LLCAlbuquerque, NM$31.24M
Lovelace Health System LLCRoswell, NM$20.13M
Jacksonville Hospital LLCJacksonville, TX$9.41M
Henderson Hospital, LLCHenderson, TX$8.52M
Athens Hospital, LLCAthens, TX$8.32M
Etmc Physician Group INC.Tyler, TX$8.03M
Tyler Regional Hospital LLCTyler, TX$7.94M
Lovelace Unm Rehabilitation Hospital LLCAlbuquerque, NM$6.30M
Pocatello Hospital LLCPocatello, ID$6.11M
Jacksonville Hospital LLCJacksonville, TX$5.93M
Ahs Pryor Hospital, LLCPryor, OK$5.61M
Bsa Hospital LLCAmarillo, TX$4.96M
Pittsburg Hospital LLCPittsburg, TX$4.83M
Ahs Claremore Regional Hospital, LLC.Claremore, OK$4.81M
Ahs Henryetta Hospital LLCHenryetta, OK$4.27M
Pittsburg Hospital LLCPittsburg, TX$3.98M
Topeka Hospital, LLCTopeka, KS$3.94M

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