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JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
NPI: 1245614387
· ALTUS, OK 73521
· 261QR1300X
$2.97M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,081 |
$239K |
| 2019 |
3,208 |
$309K |
| 2020 |
3,134 |
$380K |
| 2021 |
2,953 |
$395K |
| 2022 |
3,933 |
$547K |
| 2023 |
4,884 |
$737K |
| 2024 |
2,798 |
$366K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,035 |
8,448 |
$1.29M |
| 99214 |
|
7,602 |
7,221 |
$960K |
| H0004 |
Alcohol and/or drug services |
1,907 |
1,316 |
$338K |
| 99307 |
|
3,093 |
3,048 |
$160K |
| 99212 |
|
703 |
668 |
$115K |
| 99308 |
|
1,407 |
1,271 |
$83K |
| 99204 |
|
29 |
29 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$5K |
| 99203 |
|
25 |
25 |
$5K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$4K |
| 99202 |
|
12 |
12 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
108 |
108 |
$2K |
| H0032 |
Mh svc plan dev by non-md |
13 |
13 |
$2K |