Physician
Jackson Hospital & Clinic, INC.
Jackson Hospital & Clinic, INC. was paid $556K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 38% of everything it billed.
33Billing provider infoJACKSON HOSPITAL & CLINIC, INC.
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
33aNPI1720599012assigned 10/13/2017
33bProvider typeOtolaryngology Physician
28Total paid$556K
24GClaims25,609
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Alabama
Rank by total paid#7 of 29
Median peer was paid$56K
This provider vs. median9.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HERRING, TARA 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 | 2,225 | $71K | |
| 2019 | 2,104 | $75K | |
| 2020 | 1,072 | $41K | |
| 2021 | 1,824 | $44K | |
| 2022 | 7,010 | $91K | |
| 2023 | 8,067 | $141K | |
| 2024incomplete | 3,307 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 38% | 3,185 | 2,998 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 5,274 | 4,612 | $203K |
| 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 | 8.2% | 476 | 446 | $46K |
| 99243 | 5.9% | 435 | 409 | $33K | |
| 92567 | 4.9% | 2,230 | 2,019 | $27K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.3% | 422 | 380 | $18K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.5% | 98 | 48 | $8K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | 13 | $4K |
| 92557 | <1% | 124 | 106 | $3K | |
| 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 | <1% | 56 | 43 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 67 | 64 | $2K |
| 95115 | <1% | 31 | 12 | $239.12 |
7 more codes
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 officialHERRING, TARA (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $530K |
| Jackson Hospital and Clinic INC | Montgomery, AL | $494K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $30K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $22K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $14K |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $13K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $9K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $8K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $6K |
| Jackson Hospital and Clinic INC | Montgomery, AL | $5K |
| Jackson Hospital and Clinic, INC. | Prattville, AL | $2K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $1K |
| Jackson Hospital and Clinic, INC | Montgomery, AL | $45.00 |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital and Clinic, INC | Greenville, AL | $0.00 |
| Jackson Clinic Multispecialty Wetumpka | Wetumpka, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.