ST. DOMINIC JACKSON MEMORIAL
NPI: 1235173691
· JACKSON, MS 39216
· 207L00000X
$2.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24,041 |
$727K |
| 2019 |
28,036 |
$803K |
| 2020 |
22,317 |
$653K |
| 2021 |
17,819 |
$512K |
| 2022 |
8,414 |
$41K |
| 2023 |
6,502 |
$29K |
| 2024 |
3,692 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
23,596 |
21,607 |
$1.36M |
| 99284 |
|
19,833 |
17,036 |
$1.01M |
| 93010 |
|
51,020 |
44,280 |
$148K |
| 93306 |
|
6,655 |
6,184 |
$139K |
| 99283 |
|
1,250 |
1,152 |
$42K |
| 99231 |
|
4,443 |
1,483 |
$37K |
| 99232 |
|
2,756 |
1,087 |
$30K |
| 99291 |
|
143 |
126 |
$9K |
| 99213 |
|
523 |
320 |
$5K |
| 99204 |
|
67 |
64 |
$2K |
| 99203 |
|
90 |
83 |
$2K |
| 99214 |
|
154 |
115 |
$993.56 |
| 99233 |
Prolong inpt eval add15 m |
158 |
71 |
$338.21 |
| 99212 |
|
55 |
54 |
$300.88 |
| 93308 |
|
30 |
24 |
$206.78 |
| 93321 |
|
30 |
24 |
$44.32 |
| 11042 |
|
18 |
16 |
$0.00 |