JEFFERSON HOSPITAL ASSOCIATION, INC
NPI: 1104587526
· MONTICELLO, AR 71655
· 207Q00000X
$747K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14,355 |
$265K |
| 2023 |
12,359 |
$283K |
| 2024 |
8,554 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
17,469 |
14,619 |
$515K |
| 87426 |
|
1,508 |
1,239 |
$49K |
| 99214 |
|
1,052 |
927 |
$46K |
| 87804 |
|
2,339 |
985 |
$20K |
| 99394 |
|
273 |
253 |
$14K |
| 99393 |
|
270 |
236 |
$13K |
| 87880 |
|
1,356 |
1,119 |
$13K |
| 99392 |
|
280 |
243 |
$13K |
| 85025 |
|
2,678 |
2,226 |
$13K |
| 99212 |
|
461 |
416 |
$11K |
| 99391 |
|
305 |
234 |
$11K |
| 71046 |
|
359 |
314 |
$6K |
| 80061 |
|
706 |
614 |
$5K |
| 99222 |
|
54 |
50 |
$3K |
| 99238 |
|
85 |
77 |
$3K |
| 83036 |
|
596 |
537 |
$3K |
| 99232 |
|
60 |
33 |
$2K |
| 99308 |
|
89 |
71 |
$2K |
| 87807 |
|
164 |
150 |
$2K |
| 36415 |
|
2,798 |
2,442 |
$1K |
| 99381 |
|
14 |
12 |
$732.12 |
| 81003 |
|
761 |
587 |
$233.15 |
| 96110 |
|
16 |
16 |
$140.80 |
| 99307 |
|
29 |
21 |
$96.72 |
| J1100 |
Dexamethasone sodium phos |
14 |
12 |
$59.20 |
| 3079F |
|
292 |
248 |
$40.00 |
| 99441 |
|
32 |
31 |
$20.44 |
| 3077F |
|
73 |
72 |
$20.00 |
| 3075F |
|
83 |
64 |
$10.00 |
| G8420 |
Calc bmi norm parameters |
146 |
133 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
143 |
132 |
$0.00 |
| G8754 |
Dias bp less 90 |
102 |
97 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
70 |
69 |
$0.00 |
| 1036F |
|
58 |
57 |
$0.00 |
| 3074F |
|
97 |
77 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
237 |
223 |
$0.00 |
| G8752 |
Sys bp less 140 |
89 |
84 |
$0.00 |
| 3078F |
|
69 |
58 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
28 |
27 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
13 |
12 |
$0.00 |