Medicaid Provider Spending

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

VAUGHN D JACKSON, PLLC

NPI: 1710308952 · LA JARA, CO 81140 · Medical Specialty Clinic/Center · NPI assigned 12/13/2013

$325K
Total Medicaid Paid
7,630
Total Claims
6,645
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialJACKSON, VAUGHN (SOLE MEMBER)
NPI Enumeration Date12/13/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,642 $73K
2019 1,763 $66K
2020 1,322 $52K
2021 1,002 $44K
2022 821 $41K
2023 901 $39K
2024 179 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,107 2,658 $162K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,824 2,425 $143K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 281 253 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 91 89 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 86 76 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21 21 $2K
99215 Prolong outpt/office vis 54 47 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 120 109 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 36 29 $1K
90653 13 13 $793.26
90658 132 114 $792.52
36415 Collection of venous blood by venipuncture 389 370 $740.39
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 141 130 $683.93
90682 18 17 $539.88
90688 16 15 $189.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 175 160 $181.43
90686 18 18 $145.82
J1030 Injection, methylprednisolone acetate, 40 mg 25 25 $124.65
90461 16 14 $0.00
G0008 Administration of influenza virus vaccine 67 62 $0.00