Jackson Primary Care LLC

Jackson Primary Care LLC was paid $173K by Medicaid between Jan 2018 and Jun 2021, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.

33Billing provider infoJACKSON PRIMARY CARE LLC
JACKSON, MO 63755

33aNPI1619961380assigned 09/08/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$173K

24GClaims2,586

24DCodes billed2

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Missouri

Rank by total paid#44 of 358

Median peer was paid$16K

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	906	$60K
2019	1,174	$80K
2020	451	$31K
2021	55	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	91%	2,372	2,045	$157K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.4%	214	194	$16K

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 officialSIEMER, DEANNA (OWNER)