Jackson, Haley

Jackson, Haley was paid $17K by Medicaid between Jul 2019 and Dec 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoJACKSON, HALEY
FLORENCE, SC 29501

33aNPI1255840773assigned 09/27/2017

33bProvider typePediatric Nurse Practitioner

28Total paid$17K

24GClaims484

24DCodes billed8

24AFirst – last monthJul 2019 – Dec 2019

Compared with peers

Next to other Pediatric Nurse Practitioner providers in South Carolina

Rank by total paid#14 of 39

Median peer was paid$7K

This provider vs. median2.5×

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
2019	484	$17K

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	80%	240	222	$14K
90460	Immunization administration through 18 years of age via any route, first or only component	7.7%	64	64	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.2%	13	13	$1K
90461		2.9%	15	15	$504.50
97802		1.4%	12	12	$244.92
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.2%	39	38	$210.21
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	12	$164.96
94760		0%	85	68	$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.