Clinic
Primary Care Clinic of Jackson
Primary Care Clinic of Jackson was paid $758K by Medicaid between Jan 2018 and Mar 2023, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoPRIMARY CARE CLINIC OF JACKSON
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1609309855assigned 04/05/2017
33bProvider typeClinic/Center
28Total paid$758K
24GClaims40,029
24DCodes billed51
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Clinic/Center providers in Tennessee
Rank by total paid#13 of 70
Median peer was paid$72K
This provider vs. median11×
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 | 14,301 | $288K | |
| 2019 | 12,475 | $254K | |
| 2020 | 1,475 | $22K | |
| 2021 | 5,146 | $110K | |
| 2022 | 5,948 | $73K | |
| 2023 | 684 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 5,290 | 4,048 | $245K |
| 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% | 7,126 | 5,795 | $245K |
| 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 | 5.9% | 662 | 468 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 638 | 552 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.3% | 2,125 | 1,567 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 1,065 | 943 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 1,807 | 909 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 1,799 | 1,497 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 2,888 | 2,327 | $16K |
| 92552 | 1.7% | 856 | 754 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 162 | 152 | $10K |
| 96160 | 1.1% | 361 | 312 | $8K |
39 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 450 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 128 | $5K |
| 87430 | <1% | 692 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 255 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,283 | $3K |
| 99173 | <1% | 733 | $3K | |
| 81025 | <1% | 650 | $3K | |
| 96161 | <1% | 273 | $3K | |
| 36416 | <1% | 1,948 | $2K | |
| 99384 | <1% | 30 | $2K | |
| 99383 | <1% | 30 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 218 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $2K |
| 96127 | <1% | 373 | $2K | |
| 80305 | <1% | 330 | $2K | |
| 81003 | <1% | 1,130 | $2K | |
| 93000 | <1% | 112 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 210 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 509 | $894.98 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $874.18 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $854.63 |
| 3008F | <1% | 1,439 | $470.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 329 | $463.94 |
| 99201 | <1% | 17 | $382.57 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 20 | $266.20 |
| 90756 | <1% | 17 | $252.61 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 696 | $229.38 |
| 3079F | <1% | 288 | $160.00 | |
| 87807 | <1% | 12 | $140.71 | |
| 1159F | <1% | 73 | $120.00 | |
| 1160F | <1% | 73 | $120.00 | |
| 3074F | <1% | 734 | $110.00 | |
| 3077F | <1% | 70 | $90.00 | |
| 3080F | <1% | 77 | $80.00 | |
| 3078F | <1% | 627 | $70.00 | |
| 3075F | <1% | 143 | $30.00 | |
| 99000 | 0% | 174 | $0.00 | |
| 3044F | 0% | 33 | $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 officialO'CONNOR-WRAY, KATHY (FNP, OWNER)