JACKSON HOSPITAL AND CLINIC, INC
NPI: 1326750084
· MONTGOMERY, AL 36106
· Family Medicine Physician
· NPI assigned 12/14/2022
$817.54
Total Medicaid Paid
Provider Details
| Authorized Official | COWDREY, MELODY (DIRECTOR-PATIENT FINANCIAL SERVICES) |
| NPI Enumeration Date | 12/14/2022 |
Related Entities
Other providers sharing the same authorized official: COWDREY, MELODY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$817.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$817.54 |
| 3008F |
|
16 |
14 |
$0.00 |