Jackson Hospital & Clinic, INC.

Jackson Hospital & Clinic, INC. was paid $32K by Medicaid between Apr 2018 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoJACKSON HOSPITAL & CLINIC, INC.
MONTGOMERY, AL 36106

33aNPI1316447063assigned 02/20/2018

33bProvider typeGastroenterology Physician

28Total paid$32K

24GClaims721

24DCodes billed2

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Alabama

Rank by total paid#12 of 27

Median peer was paid$28K

This provider vs. median1.1×

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	67	$3K
2019	72	$3K
2020	62	$2K
2021	133	$6K
2022	100	$3K
2023	136	$8K
2024incomplete	151	$8K

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	56%	569	541	$18K
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	44%	152	148	$14K

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 officialWALKER, SHALICIA (ENROLLMENT & CREDENTIALING COORD.)