Jackson, Anita

Jackson, Anita was paid $7K by Medicaid between May 2019 and Aug 2019, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoJACKSON, ANITA
LUMBERTON, NC 28358

33aNPI1346286010assigned 06/21/2006

33bProvider typeOtolaryngology Physician

28Total paid$7K

24GClaims126

24DCodes billed2

24AFirst – last monthMay 2019 – Aug 2019

Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#35 of 42

Median peer was paid$109K

This provider vs. median0.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (05/20/2024).

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
2019	126	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	87%	113	63	$6K
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	13%	13	12	$982.12

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.