Physician
North Jackson Primary Care
North Jackson Primary Care was paid $221K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoNORTH JACKSON PRIMARY CARE
STEVENSON, AL 35772
STEVENSON, AL 35772
33aNPI1679654339assigned 10/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$221K
24GClaims13,524
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#135 of 455
Median peer was paid$57K
This provider vs. median3.9×
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 | 4,213 | $35K | |
| 2019 | 2,387 | $35K | |
| 2020 | 1,816 | $30K | |
| 2021 | 2,293 | $32K | |
| 2022 | 1,392 | $32K | |
| 2023 | 928 | $33K | |
| 2024incomplete | 495 | $25K |
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 | 52% | 4,428 | 3,695 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 5,269 | 4,155 | $101K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 685 | 528 | $2K |
| 90756 | <1% | 121 | 115 | $1K | |
| 93000 | <1% | 72 | 69 | $733.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | 39 | $161.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 66 | 65 | $26.24 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 16 | 16 | $18.64 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 247 | 184 | $10.65 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 15 | 12 | $8.18 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,408 | 1,157 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 290 | 269 | $0.00 |
7 more codes
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 42 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 140 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 36 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 255 | $0.00 |
| 3008F | 0% | 360 | $0.00 | |
| 1125F | 0% | 15 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $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 officialCALHOUN, RONALD (OWNER)