Lab
Jackson-Madison County General Hospital
Jackson-Madison County General Hospital was paid $449K by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 87624, Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types — 29% of everything it billed.
33Billing provider infoJACKSON-MADISON COUNTY GENERAL HOSPITAL
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1720160708assigned 10/19/2006
33bProvider typeClinical Medical Laboratory
28Total paid$449K
24GClaims42,812
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Tennessee
Rank by total paid#29 of 70
Median peer was paid$141K
This provider vs. median3.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PRESCOTT, TINA controls 17+ related entities in our dataset. Read more
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 | 4,149 | $43K | |
| 2019 | 7,186 | $84K | |
| 2020 | 6,314 | $69K | |
| 2021 | 3,837 | $52K | |
| 2022 | 5,225 | $52K | |
| 2023 | 9,115 | $73K | |
| 2024incomplete | 6,986 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 29% | 5,171 | 4,878 | $132K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 24% | 9,233 | 8,640 | $106K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 16% | 4,017 | 3,745 | $73K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 16% | 4,012 | 3,741 | $73K |
| 86850 | 2.2% | 1,856 | 1,710 | $10K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.8% | 346 | 329 | $8K |
| 88142 | 1.7% | 831 | 785 | $8K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 4,015 | 2,532 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 1,922 | 1,439 | $3K |
| 88342 | <1% | 98 | 94 | $3K | |
| 80061 | Lipid panel | <1% | 630 | 550 | $3K |
| 86900 | <1% | 1,435 | 1,313 | $2K |
32 more codes
| 86901 | <1% | 1,437 | $2K | |
| 80050 | General health panel | <1% | 115 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 626 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 174 | $2K |
| 88112 | <1% | 129 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,285 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 33 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,061 | $1K |
| 80055 | <1% | 35 | $966.70 | |
| 81001 | <1% | 1,579 | $742.15 | |
| 87186 | <1% | 449 | $623.05 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 226 | $601.49 |
| 87077 | <1% | 265 | $505.04 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 13 | $491.24 |
| 84156 | <1% | 277 | $439.56 | |
| 86703 | <1% | 51 | $404.08 | |
| 84146 | <1% | 34 | $314.74 | |
| 87653 | <1% | 14 | $305.90 | |
| 86140 | <1% | 319 | $191.90 | |
| 87081 | <1% | 34 | $129.73 | |
| 85610 | <1% | 99 | $127.87 | |
| 85660 | <1% | 34 | $114.61 | |
| 84439 | <1% | 50 | $110.82 | |
| 82950 | <1% | 33 | $96.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 481 | $95.78 |
| 85652 | <1% | 225 | $83.36 | |
| 80076 | <1% | 13 | $46.06 | |
| 86592 | <1% | 30 | $43.57 | |
| 85018 | <1% | 32 | $42.22 | |
| 87070 | <1% | 39 | $37.76 | |
| 87205 | <1% | 39 | $21.30 | |
| 82043 | <1% | 15 | $10.86 |
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 officialPRESCOTT, TINA (PRESIDENT AND CEO)
Parent organizationJACKSON-MADISON COUNTY GENERAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Jackson Madison County General Hospital | Jackson, TN | $46.51M |
| Pathways of Tennessee, INC. | Jackson, TN | $30.54M |
| Dyersburg Health | Dyersburg, TN | $13.19M |
| Jackson-Madison County General Hospital | Jackson, TN | $12.97M |
| Jackson-Madison County General Hospital | Jackson, TN | $7.37M |
| WT Medical Associates | Dyersburg, TN | $5.52M |
| West Tennessee Healthcare Henry County | Paris, TN | $4.47M |
| Therapy & Learning Center INC | Jackson, TN | $4.19M |
| Martin Health | Martin, TN | $3.94M |
| Milan General Hospital, INC. | Milan, TN | $3.54M |
| Camden General Hospital, INC. | Camden, TN | $3.46M |
| Pathways of Tennessee, INC. | Jackson, TN | $3.30M |
| Bolivar General Hospital, INC. | Bolivar, TN | $2.36M |
| Martin Health | South Fulton, TN | $1.47M |
| Lift Therapy, INC. | Jackson, TN | $778K |
| West Tennessee Healthcare Henry County | Paris, TN | $136K |
| Jackson-Madison County General Hospital | Jackson, TN | $108K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.