Jackson, Tanya

Jackson, Tanya was paid $24K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 71% of everything it billed.

33Billing provider infoJACKSON, TANYA
SANDY, UT 84094

33aNPI1255445383assigned 08/18/2006

33bProvider typePediatrics Physician

28Total paid$24K

24GClaims568

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#132 of 299

Median peer was paid$16K

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	189	$10K
2019	230	$12K
2020	149	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	71%	280	278	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	118	109	$6K
90472	Immunization administration, each additional vaccine (list separately)	3.9%	28	27	$942.04
90686		1.2%	118	117	$282.42
90670		0%	12	12	$0.00
90648		0%	12	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.