Jackson, Todd

Jackson, Todd was paid $21K by Medicaid between Jan 2018 and Oct 2018, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 73% of everything it billed.

33Billing provider infoJACKSON, TODD
KINGMAN, AZ 86401

33aNPI1609063775assigned 10/02/2007

33bProvider typeOphthalmology Physician

28Total paid$21K

24GClaims226

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#49 of 78

Median peer was paid$44K

This provider vs. median0.5×

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	226	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	73%	183	177	$15K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	21%	14	13	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.6%	15	15	$756.77
92136		2.6%	14	13	$559.16

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.