Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Frankfort › NPI 1376542951
Physician

Jackson, James

Jackson, James was paid $3K by Medicaid between Jun 2020 and Aug 2022, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 83% of everything it billed.

33Billing provider infoJACKSON, JAMES
FRANKFORT, KY 40601
33aNPI1376542951assigned 07/18/2005
28Total paid$3K
24GClaims62
24DCodes billed3
24AFirst – last monthJun 2020 – Aug 2022
Compared with peers

Next to other Pulmonary Disease Physician providers in Kentucky

Rank by total paid#11 of 16
Median peer was paid$20K
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.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202016$958.12
202246$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 83% 34 30 $2K
94375 9.2% 14 13 $229.52
93000 7.6% 14 13 $189.34

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.