Physician
Jackson Hospital and Clinic INC
Jackson Hospital and Clinic INC was paid $494K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoJACKSON HOSPITAL AND CLINIC INC
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
33aNPI1558764266assigned 10/08/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$494K
24GClaims33,392
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Alabama
Rank by total paid#19 of 124
Median peer was paid$10K
This provider vs. median51×
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.
Entity ProliferationAuthorized official HERRING, TARA controls 17+ related entities in our dataset. Read more
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 | 1,053 | $27K | |
| 2019 | 1,769 | $52K | |
| 2020 | 2,312 | $113K | |
| 2021 | 3,280 | $75K | |
| 2022 | 8,032 | $88K | |
| 2023 | 9,225 | $96K | |
| 2024incomplete | 7,721 | $41K |
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 | 30% | 6,966 | 5,516 | $147K |
| 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 | 15% | 2,259 | 1,869 | $72K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 12% | 76 | 64 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 949 | 793 | $38K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.3% | 1,923 | 1,687 | $36K |
| 54150 | 4.8% | 368 | 311 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 1,423 | 1,161 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.1% | 710 | 650 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 305 | 258 | $18K |
| 59025 | Fetal non-stress test | 3.0% | 1,555 | 563 | $15K |
| 76801 | 2.6% | 526 | 447 | $13K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.6% | 189 | 176 | $8K |
23 more codes
| 76830 | Ultrasound, transvaginal | 1.4% | 642 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 45 | $4K |
| G9357 | Post-partum screenings, evaluations and education performed | <1% | 92 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 191 | $2K |
| 54160 | <1% | 12 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 189 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 67 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 655 | $544.00 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 33 | $509.97 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $481.76 |
| 81002 | <1% | 2,270 | $365.40 | |
| 81025 | <1% | 28 | $36.40 | |
| 85018 | <1% | 550 | $31.46 | |
| 3078F | 0% | 1,540 | $0.00 | |
| 1160F | 0% | 1,792 | $0.00 | |
| 3077F | 0% | 37 | $0.00 | |
| 3008F | 0% | 3,163 | $0.00 | |
| 3079F | 0% | 592 | $0.00 | |
| 3075F | 0% | 78 | $0.00 | |
| 3074F | 0% | 2,244 | $0.00 | |
| 1036F | 0% | 1,822 | $0.00 | |
| 3080F | 0% | 32 | $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 officialHERRING, TARA (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $556K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $530K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $30K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $22K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $14K |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $13K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $9K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $8K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $6K |
| Jackson Hospital and Clinic INC | Montgomery, AL | $5K |
| Jackson Hospital and Clinic, INC. | Prattville, AL | $2K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $1K |
| Jackson Hospital and Clinic, INC | Montgomery, AL | $45.00 |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital and Clinic, INC | Greenville, AL | $0.00 |
| Jackson Clinic Multispecialty Wetumpka | Wetumpka, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.