Medicaid Provider Spending

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

JACKSON MEDICAL ASSOCIATES, PLLC

NPI: 1467675769 · RIPLEY, WV 25271 · Family Medicine Physician · NPI assigned 04/11/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$44K
Total Medicaid Paid
1,617
Total Claims
1,148
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (OFFICE MANAGER)
NPI Enumeration Date04/11/2007

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,415 $40K
2019 202 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,264 830 $34K
3008F 206 192 $9K
90686 20 20 $640.44
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $531.94
G8420 Bmi is documented within normal parameters and no follow-up plan is required 88 79 $51.39
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 23 15 $0.00