Physician
Jackson Purchase Medical Associates, PSC
Jackson Purchase Medical Associates, PSC was paid $85K by Medicaid between Jan 2018 and Jan 2019, across 26 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 39% of everything it billed.
33Billing provider infoJACKSON PURCHASE MEDICAL ASSOCIATES, PSC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1699850263assigned 10/25/2006
33bProvider typeFamily Medicine Physician
28Total paid$85K
24GClaims8,444
24DCodes billed26
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#180 of 352
Median peer was paid$90K
This provider vs. median1.0×
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 | 8,382 | $85K | |
| 2019 | 62 | $658.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 39% | 634 | 574 | $33K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 1,829 | 560 | $24K |
| 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 | 19% | 512 | 441 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 523 | 411 | $7K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.5% | 136 | 66 | $3K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 13 | 13 | $949.70 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 14 | $752.20 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $600.20 |
| 3066F | 0% | 28 | 28 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 590 | 531 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 535 | 491 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 46 | 41 | $0.00 |
14 more codes
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 160 | $0.00 |
| 1036F | 0% | 157 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 30 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 30 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,270 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 89 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 530 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 326 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 581 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 298 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 31 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 41 | $0.00 |
| 4004F | 0% | 14 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 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 officialBROWN, CARMEL (DIRECTOR OF FINANCE)