JACKSON HOSPITAL & CLINIC, INC.
NPI: 1720599012
· MONTGOMERY, AL 36106
· 207Y00000X
$556K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,307 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
|
3,185 |
2,998 |
$209K |
| 99213 |
|
5,274 |
4,612 |
$203K |
| 99204 |
|
476 |
446 |
$46K |
| 99243 |
|
435 |
409 |
$33K |
| 92567 |
|
2,230 |
2,019 |
$27K |
| 99202 |
|
422 |
380 |
$18K |
| 69436 |
|
98 |
48 |
$8K |
| 42820 |
|
13 |
13 |
$4K |
| 92557 |
|
124 |
106 |
$3K |
| 99214 |
|
56 |
43 |
$3K |
| 99212 |
|
67 |
64 |
$2K |
| 95115 |
|
31 |
12 |
$239.12 |
| 69210 |
|
18 |
16 |
$108.00 |
| 1160F |
|
6,076 |
5,604 |
$0.00 |
| 3078F |
|
743 |
698 |
$0.00 |
| 1036F |
|
1,868 |
1,616 |
$0.00 |
| 3008F |
|
3,542 |
3,225 |
$0.00 |
| 3074F |
|
938 |
887 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |