Roy Harper Jackson M D INC

Roy Harper Jackson M D INC was paid $51K by Medicaid between Jan 2018 and Aug 2024, across 22 billing codes. Its largest line is 99335, — 35% of everything it billed.

33Billing provider infoROY HARPER JACKSON M D INC
PASADENA, CA 91101

33aNPI1659452092assigned 10/18/2006

33bProvider typeInternal Medicine Physician

28Total paid$51K

24GClaims6,079

24DCodes billed22

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#858 of 2,679

Median peer was paid$13K

This provider vs. median4.1×

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	659	$3K
2019	1,408	$11K
2020	1,169	$13K
2021	810	$10K
2022	934	$10K
2023	797	$2K
2024incomplete	302	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99335		35%	1,224	1,188	$18K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	31%	1,104	1,089	$16K
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	9.7%	225	216	$5K
99336		9.2%	142	142	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.5%	274	270	$4K
99349		3.4%	86	86	$2K
99443		1.6%	38	38	$807.76
99348		1.6%	205	202	$796.92
99490	Ccm add 20min	<1%	16	16	$416.34
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	12	12	$185.99
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	862	845	$57.20
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	951	931	$37.50

10 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	440	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	161	$0.00
G8421	Bmi not documented and no reason is given	0%	162	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	56	$0.00
G8482	Influenza immunization administered or previously received	0%	15	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	15	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	31	$0.00
G8756	No documentation of blood pressure measurement, reason not given	0%	20	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	27	$0.00
1170F		0%	13	$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 officialJACKSON, ROY (PRESIDENT CEO)