Er Physician Group at Jackson Hospital
Er Physician Group at Jackson Hospital was paid $3.22M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoER PHYSICIAN GROUP AT JACKSON HOSPITAL
MARIANNA, FL 32446
MARIANNA, FL 32446
33aNPI1407801194assigned 05/23/2006
33bProvider typeSpecialist
28Total paid$3.22M
24GClaims116,493
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#21 of 553
Median peer was paid$31K
This provider vs. median103×
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
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 | |
|---|---|---|---|
| 2018 | 3,613 | $8K | |
| 2019 | 19,611 | $435K | |
| 2020 | 15,026 | $339K | |
| 2021 | 18,366 | $588K | |
| 2022 | 28,417 | $918K | |
| 2023 | 19,668 | $645K | |
| 2024incomplete | 11,792 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 31,532 | 22,978 | $1.02M |
| H1000 | Prenatal care, at-risk assessment | 19% | 10,650 | 7,109 | $618K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.7% | 408 | 258 | $217K |
| 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 | 5.5% | 9,454 | 6,909 | $176K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 2,130 | 1,779 | $169K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 4.8% | 1,227 | 1,059 | $155K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 1,666 | 1,474 | $138K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 1,691 | 1,246 | $109K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 3,567 | 3,129 | $91K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.2% | 7,112 | 4,472 | $70K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 3,888 | 2,177 | $41K |
| 59430 | 1.3% | 374 | 205 | $41K |
83 more codes
| 90461 | 1.1% | 2,583 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,254 | $33K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 723 | $31K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,636 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,071 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 288 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 667 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,429 | $18K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,294 | $17K |
| 59515 | <1% | 28 | $14K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 41 | $12K |
| 99460 | <1% | 301 | $12K | |
| 59514 | <1% | 25 | $11K | |
| 99307 | <1% | 1,830 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 131 | $11K |
| 99223 | Prolong inpt eval add15 m | <1% | 252 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 170 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,161 | $9K |
| 95117 | <1% | 1,452 | $8K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 62 | $8K |
| 81025 | <1% | 2,159 | $5K | |
| 99305 | <1% | 207 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 50 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 115 | $3K |
| 94060 | <1% | 67 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 140 | $2K |
| 99243 | <1% | 48 | $2K | |
| 99490 | Ccm add 20min | <1% | 2,007 | $2K |
| 99318 | <1% | 229 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 91 | $1K |
| 90677 | <1% | 199 | $932.26 | |
| 99381 | <1% | 14 | $830.20 | |
| 99225 | <1% | 16 | $706.12 | |
| 87400 | <1% | 94 | $627.22 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 203 | $466.23 |
| 99462 | <1% | 29 | $400.82 | |
| 94729 | <1% | 67 | $383.03 | |
| 81002 | <1% | 438 | $347.52 | |
| 94727 | <1% | 67 | $338.27 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 92 | $219.87 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $143.04 |
| 90686 | <1% | 442 | $69.28 | |
| 99401 | <1% | 26 | $59.64 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 250 | $44.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 40 | $17.92 |
| 92551 | <1% | 1,481 | $8.51 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 612 | $2.32 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 30 | $2.04 |
| 99173 | 0% | 1,485 | $0.00 | |
| 90670 | 0% | 1,456 | $0.00 | |
| 90648 | 0% | 1,644 | $0.00 | |
| 99497 | 0% | 250 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 120 | $0.00 |
| 90633 | 0% | 36 | $0.00 | |
| 99071 | 0% | 224 | $0.00 | |
| 3288F | 0% | 262 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 440 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 57 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 42 | $0.00 |
| 98960 | 0% | 22 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 96 | $0.00 |
| 3078F | 0% | 30 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 88 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 197 | $0.00 |
| 2014F | 0% | 16 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90723 | 0% | 1,133 | $0.00 | |
| 90680 | 0% | 707 | $0.00 | |
| 99090 | 0% | 191 | $0.00 | |
| 99024 | 0% | 144 | $0.00 | |
| 1000F | 0% | 4,336 | $0.00 | |
| 1101F | 0% | 13 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 20 | $0.00 |
| 0503F | 0% | 78 | $0.00 | |
| 4000F | 0% | 365 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 114 | $0.00 |
| 3008F | 0% | 322 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 18 | $0.00 |
| 1126F | 0% | 78 | $0.00 | |
| 3074F | 0% | 115 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 1125F | 0% | 14 | $0.00 | |
| 90647 | 0% | 18 | $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.
From NPPES
Who's on the registration
Authorized officialCONNOLLY, KELLY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Jackson County Hospital District | Marianna, FL | $16.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.