JACKSON HOSPITAL & CLINIC, INC.

NPI: 1215464300 · MONTGOMERY, AL 36106 · Surgery Physician · NPI assigned 05/19/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HERRING, TARA controls 17+ related entities in our dataset. Read more

$13K

Total Medicaid Paid

523

Total Claims

296

Beneficiaries

Codes Billed

2020-09

First Month

2022-12

Last Month

Provider Details

Authorized Official	HERRING, TARA (REVENUE CYCLE DIRECTOR)
NPI Enumeration Date	05/19/2017

Other providers sharing the same authorized official: HERRING, TARA

Provider	City	State	Total Paid
JACKSON HOSPITAL & CLINIC, INC.	MONTGOMERY	AL	$556K
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$530K
JACKSON HOSPITAL AND CLINIC INC	MONTGOMERY	AL	$494K
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$30K
JACKSON HOSPITAL AND CLINIC INC.	MONTGOMERY	AL	$22K
JACKSON HOSPITAL AND CLINIC INC.	MONTGOMERY	AL	$14K
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$9K
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$8K
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$6K
JACKSON HOSPITAL AND CLINIC INC	MONTGOMERY	AL	$5K
JACKSON HOSPITAL AND CLINIC, INC.	PRATTVILLE	AL	$2K
JACKSON HOSPITAL AND CLINIC INC.	MONTGOMERY	AL	$1K
JACKSON HOSPITAL AND CLINIC, INC	MONTGOMERY	AL	$45.00
JACKSON HOSPITAL & CLINIC, INC.	MONTGOMERY	AL	$0.00
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$0.00
JACKSON HOSPITAL AND CLINIC, INC	GREENVILLE	AL	$0.00
JACKSON CLINIC MULTISPECIALTY WETUMPKA	WETUMPKA	AL	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	212	119	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	220	132	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	91	45	$2K