Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JACKSON › JACKSON CLINIC PA

JACKSON CLINIC PA

NPI: 1285629386 · JACKSON, TN 38305 · Optometrist · NPI assigned 09/14/2005

$7.95M
Total Medicaid Paid
582,120
Total Claims
439,382
Beneficiaries
205
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, MARK (C.E.O.)
NPI Enumeration Date09/14/2005

Related Entities

Other providers sharing the same authorized official: ALLEN, MARK

ProviderCityStateTotal Paid
MURRAY SURGICAL MURRAY UT $1.37M
TEXARKANA EYE CARE CENTER LLP TEXARKANA TX $169K
ADVANTAGE CHIROPRACTIC P A SOUTH PORTLAND ME $33K
SURGERY CENTER ANESTHESIA, LLC MURRAY UT $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54,348 $996K
2019 62,223 $1.13M
2020 69,352 $1.12M
2021 98,938 $1.22M
2022 103,563 $1.22M
2023 99,449 $1.35M
2024 94,247 $915K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 74,132 61,391 $2.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,161 49,402 $1.53M
99232 Subsequent hospital care, per day, moderate complexity 40,169 11,771 $482K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,637 9,332 $388K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,698 6,073 $304K
90460 Immunization administration through 18 years of age via any route, first or only component 6,663 5,977 $263K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,978 6,998 $238K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,109 2,735 $169K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,846 6,675 $160K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 7,370 4,159 $124K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,617 1,501 $119K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,161 999 $111K
42820 Tonsillectomy and adenoidectomy; younger than age 12 485 481 $108K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,039 2,677 $94K
90837 Psychotherapy, 53 minutes with patient 1,256 851 $90K
99244 Office or other outpatient consultation, moderate to high complexity 746 717 $90K
93000 17,064 14,807 $88K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 569 530 $85K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,158 3,683 $76K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,850 3,543 $75K
90961 2,819 2,457 $75K
99233 Prolong inpt eval add15 m 3,523 1,255 $68K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,029 892 $66K
92567 6,002 5,650 $66K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,816 4,748 $63K
99223 Prolong inpt eval add15 m 2,015 1,769 $54K
77067 Screening mammography, bilateral, including computer-aided detection 1,887 1,735 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 672 619 $50K
71046 Radiologic examination, chest; 2 views 7,221 6,608 $50K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,278 12,056 $44K
96160 4,376 2,826 $42K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 88 83 $37K
99308 Subsequent nursing facility care, per day, straightforward 5,050 4,232 $37K
92557 1,674 1,547 $31K
90791 Psychiatric diagnostic evaluation 370 351 $28K
92587 775 750 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,334 1,141 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters 294 255 $23K
77063 Screening digital breast tomosynthesis, bilateral 1,502 1,371 $21K
83880 1,548 1,277 $18K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,349 1,098 $18K
92579 630 615 $17K
99222 Initial hospital care, per day, moderate complexity 914 790 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,362 770 $16K
97597 1,673 1,119 $15K
31575 328 309 $13K
36415 Collection of venous blood by venipuncture 16,640 13,979 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,722 1,395 $13K
3008F 72,092 55,302 $12K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,888 1,468 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 153 109 $10K
92552 851 802 $10K
71250 527 467 $9K
20610 640 412 $8K
92015 Determination of refractive state 1,587 1,187 $8K
00170 Anesthesia for intraoral procedures, including biopsy 48 46 $7K
G0444 Annual depression screening, 5 to 15 minutes 2,768 2,246 $7K
73630 1,458 1,088 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 360 323 $7K
74018 732 687 $7K
99310 Prolong nursin fac eval 15m 475 376 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 78 73 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 321 251 $6K
92555 547 511 $5K
80061 Lipid panel 2,738 2,366 $5K
94729 717 621 $5K
99238 Hospital discharge day management, 30 minutes or less 356 344 $5K
76770 268 222 $5K
99215 Prolong outpt/office vis 171 133 $5K
90962 154 135 $4K
90834 Psychotherapy, 45 minutes with patient 85 73 $4K
G0127 Trimming of dystrophic nails, any number 2,955 2,469 $4K
11721 1,844 1,311 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,604 1,347 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,600 1,426 $4K
90785 1,494 1,123 $3K
80069 2,368 2,170 $3K
11043 54 41 $3K
90686 1,245 1,133 $3K
90682 128 104 $3K
69210 195 151 $3K
94010 600 548 $3K
80048 Basic metabolic panel (calcium, ionized) 1,589 1,314 $3K
90935 Hemodialysis procedure with single evaluation by a physician 237 130 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 75 60 $3K
93015 96 78 $3K
80053 Comprehensive metabolic panel 2,376 2,059 $3K
99243 25 25 $2K
80050 General health panel 172 147 $2K
99173 317 293 $2K
90792 Psychiatric diagnostic evaluation with medical services 26 26 $2K
99306 Prolong nursin fac eval 15m 102 95 $2K
85027 1,808 1,657 $2K
11045 124 76 $2K
76641 41 27 $2K
11100 166 161 $1K
72100 153 136 $1K
96127 298 251 $1K
92551 157 146 $1K
83036 Hemoglobin; glycosylated (A1C) 974 858 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,199 823 $1K
92556 88 84 $1K
3078F 21,541 15,658 $1K
99239 Hospital discharge day management, more than 30 minutes 66 61 $984.61
2022F 1,710 1,416 $982.33
95811 13 13 $940.60
92553 75 64 $923.39
11056 359 299 $919.01
81025 247 217 $912.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 111 93 $887.10
73610 108 94 $857.01
81003 918 791 $854.30
3074F 18,101 13,725 $842.57
90670 647 553 $821.43
11102 45 38 $808.78
82570 465 420 $766.18
83970 121 95 $714.31
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $708.10
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 72 62 $650.11
76830 Ultrasound, transvaginal 17 13 $621.99
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28 24 $549.99
83735 176 167 $514.15
93922 29 25 $505.58
93308 69 63 $498.34
81001 507 474 $497.79
99459 70 55 $488.27
82565 459 365 $482.88
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 15 12 $481.11
Q9957 Injection, perflutren lipid microspheres, per ml 21 13 $452.77
73502 48 38 $429.03
73030 74 69 $426.21
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 63 49 $424.05
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 12 $386.44
85018 386 371 $348.40
76700 Ultrasound, abdominal, real time with image documentation; complete 14 13 $314.94
84443 Thyroid stimulating hormone (TSH) 279 232 $302.04
3079F 2,148 1,645 $301.99
84439 119 106 $291.19
90671 131 108 $287.66
85014 306 299 $268.11
84295 304 223 $255.83
84132 306 224 $244.93
99221 16 15 $244.35
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 113 100 $244.15
82947 329 238 $237.32
92134 35 27 $235.97
73564 12 12 $229.15
87210 116 103 $221.79
J1030 Injection, methylprednisolone acetate, 40 mg 76 53 $218.35
90697 242 194 $212.23
84520 304 223 $211.89
52000 15 15 $203.71
84156 330 308 $195.46
93289 16 12 $193.12
84460 235 178 $178.48
82607 54 50 $177.36
84450 236 178 $176.45
99356 82 38 $154.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $154.16
99220 13 12 $144.58
90688 415 381 $136.70
3077F 682 487 $130.25
93325 32 28 $129.52
G0008 Administration of influenza virus vaccine 734 659 $123.84
93321 56 51 $113.31
94060 28 26 $110.04
90680 251 204 $108.03
11719 79 68 $93.93
99401 12 12 $90.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 97 61 $85.28
3075F 662 466 $80.00
99305 12 12 $71.87
90696 14 12 $70.80
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 19 13 $69.56
82310 304 223 $60.75
51798 32 28 $55.06
94727 13 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) 25 15 $33.77
82962 42 40 $26.37
85730 17 12 $17.42
82043 49 41 $13.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 43 37 $12.40
85610 17 12 $11.44
1159F 25,765 17,577 $10.10
1160F 25,498 17,409 $10.10
J7050 Infusion, normal saline solution, 250 cc 15 12 $0.65
90687 35 34 $0.41
90661 76 54 $0.12
1126F 22 14 $0.02
1170F 802 456 $0.02
0502F 5,954 4,607 $0.00
90662 77 74 $0.00
3046F 174 108 $0.00
3045F 27 24 $0.00
90707 58 54 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 70 41 $0.00
90633 50 41 $0.00
90685 13 13 $0.00
3044F 91 76 $0.00
1125F 379 196 $0.00
3080F 62 54 $0.00
90698 77 68 $0.00
90744 17 14 $0.00
90716 55 52 $0.00
4010F 14 12 $0.00