County of Jackson

County of Jackson was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 90% of everything it billed.

33Billing provider infoCOUNTY OF JACKSON
SYLVA, NC 28779

33aNPI1609912096assigned 01/30/2007

33bProvider typeCase Management Agency

28Total paid$617K

24GClaims136,774

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in North Carolina

Rank by total paid#142 of 195

Median peer was paid$2.05M

This provider vs. median0.3×

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	1,988	$17K
2019	969	$5K
2020	776	$5K
2021	13,779	$72K
2022	29,593	$173K
2023	41,961	$143K
2024incomplete	47,708	$202K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	90%	130,470	107,601	$556K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	823	401	$24K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.2%	2,447	1,633	$20K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	268	183	$5K
90472	Immunization administration, each additional vaccine (list separately)	<1%	266	183	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	124	80	$2K
90674		<1%	522	348	$2K
90651		<1%	43	37	$1K
36415	Collection of venous blood by venipuncture	<1%	658	450	$1K
90686		<1%	689	432	$1K
87390		<1%	54	40	$560.75
90734		<1%	110	84	$552.01

8 more codes

90715		<1%	38	$186.45
86580		<1%	29	$139.75
81025		<1%	23	$88.00
87086	Culture, bacterial; quantitative colony count, urine	<1%	33	$71.82
86592		<1%	16	$65.04
85018		<1%	74	$60.20
96127		<1%	35	$13.47
90756		0%	52	$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 officialCARDEN, PAULA (DIRECTOR)

Parent organizationCOUNTY OF JACKSON