Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OCH PULMONOLOGY

NPI: 1639283740 · STARKVILLE, MS 39759 · Clinic/Center · NPI assigned 08/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JACKSON, JAMES controls 11+ related entities in our dataset. Read more

$47K
Total Medicaid Paid
4,198
Total Claims
3,946
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, JAMES (CEO)
Parent OrganizationOKTIBBEHA COUNTY HOSPITAL
NPI Enumeration Date08/18/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, JAMES

ProviderCityStateTotal Paid
OKTIBBEHA COUNTY HOSPITAL STARKVILLE MS $19.84M
OKTIBBEHA COUNTY HOSPITAL STARKVILLE MS $1.91M
OCH CENTER FOR PAIN MANAGEMENT STARKVILLE MS $386K
OCH FAMILY PRACTICE ACKERMAN ACKERMAN MS $124K
OCH PROFESSIONAL SERVICES STARKVILLE MS $108K
MEDCARE EMERGENCY MEDICAL SERVICES, INC. CAMDEN AL $104K
OCH FAMILY HEALTH CLINIC STARKVILLE MS $29K
OCH MEDICAL ASSOCIATES STARKVILLE MS $23K
OCH GENERAL SURGERY ASSOCIATES STARKVILLE MS $6K
JACKSON & BIGELOW MD PC MIDLAND MI $884.56
JAMES ANDREW JACKSON, DDS, PLLC OLIVE BRANCH MS $168.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,322 $10K
2019 948 $9K
2020 720 $8K
2021 579 $8K
2022 358 $4K
2023 77 $2K
2024 194 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,315 1,191 $43K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,104 1,035 $3K
94060 13 12 $155.49
1036F 513 504 $68.05
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 36 19 $47.50
94726 13 12 $32.43
94729 13 12 $27.09
3023F 398 388 $12.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 740 722 $0.00
G8854 Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy) 53 51 $0.00