JACKSON RURAL HEALTH CLINIC P A
NPI: 1316975287
· ROLLING FORK, MS 39159
· 207Q00000X
$146K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,243 |
$146K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,747 |
1,479 |
$105K |
| 99212 |
|
540 |
471 |
$31K |
| 99307 |
|
164 |
111 |
$4K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
157 |
129 |
$4K |
| 99308 |
|
49 |
47 |
$1K |
| 36415 |
|
359 |
332 |
$853.20 |
| J0696 |
Ceftriaxone sodium injection |
17 |
16 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
71 |
68 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
125 |
118 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
14 |
12 |
$0.00 |