Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jackson Clinic PA

Jackson Clinic PA was paid $7.95M by Medicaid between Jan 2018 and Dec 2024, across 205 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoJACKSON CLINIC PA
JACKSON, TN 38305
33aNPI1285629386assigned 09/14/2005
33bProvider typeOptometrist
28Total paid$7.95M
24GClaims582,120
24DCodes billed205
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#1 of 698
Median peer was paid$19K
This provider vs. median417×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201854,348$996K
201962,223$1.13M
202069,352$1.12M
202198,938$1.22M
2022103,563$1.22M
202399,449$1.35M
2024incomplete94,247$915K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26% 74,132 61,391 $2.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 57,161 49,402 $1.53M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.1% 40,169 11,771 $482K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.9% 10,637 9,332 $388K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.8% 6,698 6,073 $304K
90460 Immunization administration through 18 years of age via any route, first or only component 3.3% 6,663 5,977 $263K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.0% 8,978 6,998 $238K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 3,109 2,735 $169K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.0% 15,846 6,675 $160K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.6% 7,370 4,159 $124K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 1,617 1,501 $119K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.4% 1,161 999 $111K
193 more codes
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.4% 485 $108K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.2% 3,039 $94K
90837 Psychotherapy session, about an hour 1.1% 1,256 $90K
99244 Office or other outpatient consultation, moderate to high complexity 1.1% 746 $90K
93000 1.1% 17,064 $88K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.1% 569 $85K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,158 $76K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 3,850 $75K
90961 <1% 2,819 $75K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,523 $68K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,029 $66K
92567 <1% 6,002 $66K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 5,816 $63K
99223 Prolong inpt eval add15 m <1% 2,015 $54K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,887 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 672 $50K
71046 Radiologic examination, chest; 2 views <1% 7,221 $50K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15,278 $44K
96160 <1% 4,376 $42K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 88 $37K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,050 $37K
92557 <1% 1,674 $31K
90791 Psychiatric diagnostic evaluation <1% 370 $28K
92587 <1% 775 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,334 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 294 $23K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,502 $21K
83880 <1% 1,548 $18K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,349 $18K
92579 <1% 630 $17K
99222 Initial hospital care, per day, moderate complexity <1% 914 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,362 $16K
97597 <1% 1,673 $15K
31575 <1% 328 $13K
36415 Collection of venous blood by venipuncture <1% 16,640 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,722 $13K
3008F <1% 72,092 $12K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,888 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 153 $10K
92552 <1% 851 $10K
71250 <1% 527 $9K
20610 <1% 640 $8K
92015 Determination of refractive state <1% 1,587 $8K
00170 Anesthesia for intraoral procedures, including biopsy <1% 48 $7K
G0444 Annual depression screening, 5 to 15 minutes <1% 2,768 $7K
73630 <1% 1,458 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 360 $7K
74018 <1% 732 $7K
99310 Prolong nursin fac eval 15m <1% 475 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 78 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 321 $6K
92555 <1% 547 $5K
80061 Lipid panel <1% 2,738 $5K
94729 <1% 717 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 356 $5K
76770 <1% 268 $5K
99215 Doctor's office visit, returning patient (complex) <1% 171 $5K
90962 <1% 154 $4K
90834 Psychotherapy session, about 45 minutes <1% 85 $4K
G0127 Trimming of dystrophic nails, any number <1% 2,955 $4K
11721 <1% 1,844 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,604 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,600 $4K
90785 <1% 1,494 $3K
80069 <1% 2,368 $3K
11043 <1% 54 $3K
90686 <1% 1,245 $3K
90682 <1% 128 $3K
69210 <1% 195 $3K
94010 <1% 600 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 1,589 $3K
90935 Hemodialysis procedure with single evaluation by a physician <1% 237 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 75 $3K
93015 <1% 96 $3K
80053 Comprehensive metabolic panel <1% 2,376 $3K
99243 <1% 25 $2K
80050 General health panel <1% 172 $2K
99173 <1% 317 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 26 $2K
99306 Prolong nursin fac eval 15m <1% 102 $2K
85027 <1% 1,808 $2K
11045 <1% 124 $2K
76641 <1% 41 $2K
11100 <1% 166 $1K
72100 <1% 153 $1K
96127 <1% 298 $1K
92551 <1% 157 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 974 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,199 $1K
92556 <1% 88 $1K
3078F <1% 21,541 $1K
99239 Hospital discharge day management, more than 30 minutes <1% 66 $984.61
2022F <1% 1,710 $982.33
95811 <1% 13 $940.60
92553 <1% 75 $923.39
11056 <1% 359 $919.01
81025 <1% 247 $912.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 111 $887.10
73610 <1% 108 $857.01
81003 <1% 918 $854.30
3074F <1% 18,101 $842.57
90670 <1% 647 $821.43
11102 <1% 45 $808.78
82570 <1% 465 $766.18
83970 <1% 121 $714.31
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $708.10
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 72 $650.11
76830 Ultrasound, transvaginal <1% 17 $621.99
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 28 $549.99
83735 <1% 176 $514.15
93922 <1% 29 $505.58
93308 <1% 69 $498.34
81001 <1% 507 $497.79
99459 <1% 70 $488.27
82565 <1% 459 $482.88
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 15 $481.11
Q9957 Injection, perflutren lipid microspheres, per ml <1% 21 $452.77
73502 <1% 48 $429.03
73030 <1% 74 $426.21
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 63 $424.05
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $386.44
85018 <1% 386 $348.40
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14 $314.94
84443 Thyroid stimulating hormone (TSH) <1% 279 $302.04
3079F <1% 2,148 $301.99
84439 <1% 119 $291.19
90671 <1% 131 $287.66
85014 <1% 306 $268.11
84295 <1% 304 $255.83
84132 <1% 306 $244.93
99221 <1% 16 $244.35
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 113 $244.15
82947 <1% 329 $237.32
92134 <1% 35 $235.97
73564 <1% 12 $229.15
87210 <1% 116 $221.79
J1030 Injection, methylprednisolone acetate, 40 mg <1% 76 $218.35
90697 <1% 242 $212.23
84520 <1% 304 $211.89
52000 <1% 15 $203.71
84156 <1% 330 $195.46
93289 <1% 16 $193.12
84460 <1% 235 $178.48
82607 <1% 54 $177.36
84450 <1% 236 $176.45
99356 <1% 82 $154.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $154.16
99220 <1% 13 $144.58
90688 <1% 415 $136.70
3077F <1% 682 $130.25
93325 <1% 32 $129.52
G0008 Administration of influenza virus vaccine <1% 734 $123.84
93321 <1% 56 $113.31
94060 <1% 28 $110.04
90680 <1% 251 $108.03
11719 <1% 79 $93.93
99401 <1% 12 $90.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 97 $85.28
3075F <1% 662 $80.00
99305 <1% 12 $71.87
90696 <1% 14 $70.80
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 19 $69.56
82310 <1% 304 $60.75
51798 <1% 32 $55.06
94727 <1% 13 $44.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 25 $33.77
82962 <1% 42 $26.37
85730 <1% 17 $17.42
82043 <1% 49 $13.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 43 $12.40
85610 <1% 17 $11.44
1159F <1% 25,765 $10.10
1160F <1% 25,498 $10.10
J7050 Infusion, normal saline solution, 250 cc <1% 15 $0.65
90687 <1% 35 $0.41
90661 <1% 76 $0.12
1126F <1% 22 $0.02
1170F <1% 802 $0.02
0502F 0% 5,954 $0.00
90662 0% 77 $0.00
3046F 0% 174 $0.00
3045F 0% 27 $0.00
90707 0% 58 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 70 $0.00
90633 0% 50 $0.00
90685 0% 13 $0.00
3044F 0% 91 $0.00
1125F 0% 379 $0.00
3080F 0% 62 $0.00
90698 0% 77 $0.00
90744 0% 17 $0.00
90716 0% 55 $0.00
4010F 0% 14 $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 officialALLEN, MARK (C.E.O.)
Same official

Other billing entities under ALLEN, MARK

Full network →
ProviderLocationPaid
Murray SurgicalMurray, UT$1.37M
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Advantage Chiropractic P aSouth Portland, ME$33K
Surgery Center Anesthesia, LLCMurray, UT$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.