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JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
NPI: 1407230790
· ALTUS, OK 73521
· 261QR1300X
$4.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,652 |
$309K |
| 2022 |
11,673 |
$1.20M |
| 2023 |
12,731 |
$1.46M |
| 2024 |
11,804 |
$1.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
13,035 |
11,538 |
$2.20M |
| 99391 |
|
3,727 |
3,322 |
$577K |
| 96110 |
|
3,084 |
3,084 |
$452K |
| 92551 |
|
2,639 |
2,639 |
$451K |
| 99212 |
|
2,466 |
2,282 |
$426K |
| 99392 |
|
2,619 |
2,618 |
$38K |
| 96160 |
|
705 |
705 |
$18K |
| 99393 |
|
925 |
925 |
$12K |
| 90686 |
|
878 |
878 |
$7K |
| 99394 |
|
420 |
418 |
$6K |
| 99173 |
|
1,148 |
1,148 |
$1K |
| 90633 |
|
243 |
243 |
$318.70 |
| 94640 |
|
44 |
43 |
$159.35 |
| 90472 |
|
2,058 |
2,057 |
$0.00 |
| 90671 |
|
223 |
223 |
$0.00 |
| 90670 |
|
86 |
86 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
207 |
207 |
$0.00 |
| 90471 |
|
3,808 |
3,806 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 90680 |
|
164 |
164 |
$0.00 |
| 90647 |
|
168 |
168 |
$0.00 |
| 90656 |
|
120 |
120 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |