Jackson HM Services, PC
Jackson HM Services, PC was paid $63K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 55% of everything it billed.
SYLVA, NC 28779
Next to other Hospitalist Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,104 | $21K | |
| 2019 | 820 | $21K | |
| 2020 | 277 | $7K | |
| 2021 | 260 | $9K | |
| 2022 | 38 | $1K | |
| 2023 | 54 | $1K | |
| 2024incomplete | 171 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 55% | 1,716 | 490 | $35K |
| 99223 | Prolong inpt eval add15 m | 30% | 395 | 280 | $19K |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 356 | 240 | $8K |
| 99220 | 1.8% | 15 | 15 | $1K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 101 | 77 | $0.00 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 94 | 79 | $0.00 |
| 1123F | 0% | 34 | 26 | $0.00 | |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 13 | 12 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Orange Emergency Services PC | Middletown, NY | $6.00M |
| Port City Emergency Physicians LLP | Oswego, NY | $5.90M |
| Sullivan Emergency Services PC | Harris, NY | $3.92M |
| Gloversville Emergency Medicine Services PC | Gloversville, NY | $3.43M |
| Port City Emergency Physicians LLP | Fulton, NY | $2.23M |
| Port City Emergency Physicians LLP | Central Square, NY | $2.12M |
| Swain Integrated Services, PC | Bryson City, NC | $1.03M |
| Port City Emergency Physicians LLP | Hamilton, NY | $505K |
| Coastal Emergency Group, PC | Hardeeville, SC | $195K |
| Rockland Physician Medicine Services, P.C. | Suffern, NY | $60K |
| Gloversville Physician Medicine Services PC | Gloversville, NY | $54K |
| Breitbeck Physician Medicine Services, PC | Port Jervis, NY | $3K |
| Northumberland Emergency Group, PC | Sunbury, PA | $350.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.