Jackson Medical, PLLC
Jackson Medical, PLLC was paid $143K by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoJACKSON MEDICAL, PLLC
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1235199852assigned 03/27/2006
33bProvider typeLegal Medicine
28Total paid$143K
24GClaims49,979
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#56 of 126
Median peer was paid$98K
This provider vs. median1.5×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,952 | $44K | |
| 2019 | 3,429 | $43K | |
| 2020 | 10,201 | $7K | |
| 2021 | 11,589 | $9K | |
| 2022 | 3,123 | $412.88 | |
| 2023 | 12,849 | $16K | |
| 2024incomplete | 6,836 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 6,776 | 5,896 | $79K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 1,181 | 1,163 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 1,427 | 1,301 | $9K |
| 99401 | 5.3% | 2,882 | 2,810 | $8K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 4.5% | 1,066 | 1,041 | $6K |
| 99441 | 3.6% | 2,135 | 1,925 | $5K | |
| 99442 | 2.8% | 819 | 743 | $4K | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 2.6% | 2,218 | 2,202 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.1% | 3,325 | 3,238 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 473 | 467 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,572 | 2,511 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 159 | 156 | $633.57 |
36 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,223 | $603.99 |
| G0008 | Administration of influenza virus vaccine | <1% | 88 | $384.69 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,339 | $203.44 |
| 90686 | <1% | 68 | $163.53 | |
| 82270 | <1% | 251 | $86.25 | |
| 96127 | <1% | 2,502 | $72.34 | |
| H0001 | Alcohol and/or drug assessment | <1% | 1,614 | $61.24 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,266 | $42.34 |
| 99408 | <1% | 198 | $34.90 | |
| 82042 | <1% | 333 | $21.75 | |
| 96160 | <1% | 219 | $2.71 | |
| 99000 | 0% | 2,811 | $0.00 | |
| 97802 | 0% | 43 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,719 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 843 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,355 | $0.00 |
| 3008F | 0% | 81 | $0.00 | |
| 1036F | 0% | 272 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 71 | $0.00 |
| 99429 | 0% | 181 | $0.00 | |
| 1000F | 0% | 289 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 126 | $0.00 |
| 3074F | 0% | 24 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 118 | $0.00 |
| 90656 | 0% | 13 | $0.00 | |
| 90674 | 0% | 12 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,549 | $0.00 |
| 3016F | 0% | 230 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 2,584 | $0.00 |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 75 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,876 | $0.00 |
| 3725F | 0% | 343 | $0.00 | |
| 1160F | 0% | 16 | $0.00 | |
| 99051 | 0% | 88 | $0.00 | |
| 1159F | 0% | 114 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 12 | $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 officialKHANDKER, FERDOUS (PRESIDENT)
Parent organizationJACKSON MEDICAL, PLLC
| Provider | Location | Paid |
|---|---|---|
| Western Care Medical PC | Jackson Heights, NY | $125K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.