Infectious Disease Consultants of Jackson, PC

Infectious Disease Consultants of Jackson, PC was paid $950K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.

33Billing provider infoINFECTIOUS DISEASE CONSULTANTS OF JACKSON, PC
JACKSON, TN 38305

33aNPI1316029648assigned 10/19/2006

33bProvider typeInfectious Disease Physician

28Total paid$950K

24GClaims47,002

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Tennessee

Rank by total paid#2 of 35

Median peer was paid$31K

This provider vs. median30×

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	8,233	$157K
2019	7,963	$133K
2020	8,536	$164K
2021	8,585	$216K
2022	7,084	$147K
2023	4,512	$96K
2024incomplete	2,089	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	59%	32,920	8,208	$563K
99223	Prolong inpt eval add15 m	21%	5,507	4,787	$201K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	6,866	3,033	$159K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.7%	1,597	932	$16K
99255		<1%	60	53	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	52	41	$3K

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 officialAHERRERA, DAVID (DIRECTOR)