Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mercy Clinic of Jackson, PLLC

Mercy Clinic of Jackson, PLLC was paid $2.18M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 27096, — 68% of everything it billed.

33Billing provider infoMERCY CLINIC OF JACKSON, PLLC
JACKSON, KY 41339
33aNPI1306047105assigned 05/30/2007
33bProvider typeSpecialist
28Total paid$2.18M
24GClaims61,075
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Kentucky

Rank by total paid#5 of 73
Median peer was paid$107K
This provider vs. median20×

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$25K$50K$75K2018201920202021202220232024
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
20181,055$498.66
20195,162$166K
202011,992$494K
202112,153$472K
202210,574$397K
202311,245$370K
2024incomplete8,894$278K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
27096 68% 7,518 6,104 $1.47M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 16,570 12,958 $301K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.4% 9,507 7,386 $139K
80305 6.0% 21,897 17,945 $131K
64493 2.9% 811 630 $63K
99441 2.2% 2,085 1,870 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 2,687 2,324 $24K

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 officialPRATT, SUSAN (CLINIC MANAGER)