Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON PEDIATRIC ASSOCIATES

NPI: 1457484594 · RIDGELAND, MS 39157 · Specialist · NPI assigned 03/14/2007

$6.81M
Total Medicaid Paid
277,552
Total Claims
256,738
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILSON, YOLANDA (PRESIDENT CEO)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,330 $1.34M
2019 50,464 $1.27M
2020 46,053 $996K
2021 48,704 $1.15M
2022 36,389 $924K
2023 24,585 $644K
2024 19,027 $485K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,004 20,483 $1.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,561 12,171 $1.09M
90460 Immunization administration through 18 years of age via any route, first or only component 26,382 25,179 $846K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,164 7,876 $703K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,659 8,339 $703K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,309 4,937 $408K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,382 4,222 $385K
D0145 Oral evaluation for a patient under three years of age 9,928 9,658 $323K
99381 1,763 1,687 $168K
92551 15,890 15,181 $141K
96127 43,546 36,192 $136K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,010 3,744 $134K
90461 15,940 15,346 $118K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,789 6,026 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,508 4,241 $57K
90677 690 632 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,385 1,622 $44K
99173 17,872 17,052 $39K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 1,692 1,594 $32K
99401 2,485 2,363 $28K
83655 2,157 2,089 $24K
96161 7,592 7,158 $8K
80061 Lipid panel 621 593 $7K
99441 182 172 $5K
0071A 129 126 $5K
0072A 113 112 $4K
99443 46 41 $4K
36415 Collection of venous blood by venipuncture 952 926 $4K
99442 63 62 $3K
81002 1,146 1,082 $3K
90671 59 52 $3K
82947 880 822 $2K
96160 3,818 3,626 $2K
87428 13 13 $740.09
87807 55 55 $651.92
0081A 41 31 $569.28
90670 8,107 7,868 $408.63
83036 Hemoglobin; glycosylated (A1C) 38 36 $261.33
96380 16 12 $229.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 27 $207.33
85018 83 81 $159.24
90716 525 514 $138.97
90707 510 501 $80.42
90655 745 708 $68.96
90647 4,438 4,279 $59.53
90686 2,572 2,534 $52.44
90656 1,319 1,262 $37.56
99072 3,389 3,314 $0.00
90633 4,095 3,973 $0.00
90734 843 808 $0.00
90715 282 265 $0.00
90681 184 183 $0.00
90700 344 338 $0.00
90710 359 347 $0.00
91308 52 33 $0.00
90380 44 33 $0.00
90651 1,926 1,850 $0.00
90697 2,018 1,907 $0.00
90723 4,478 4,313 $0.00
90680 5,609 5,365 $0.00
91307 274 254 $0.00
90696 360 346 $0.00
90620 84 82 $0.00