Statesville Hma Medical Group LLC

Statesville Hma Medical Group LLC was paid $2K by Medicaid between Aug 2022 and Jan 2024, across 1 billing code. Its largest line is 99199, Unlisted special service, procedure or report — 100% of everything it billed.

33Billing provider infoSTATESVILLE HMA MEDICAL GROUP LLC
STATESVILLE, NC 28625

33aNPI1730551714assigned 10/29/2015

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$2K

24GClaims982

24DCodes billed1

24AFirst – last monthAug 2022 – Jan 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in North Carolina

Rank by total paid#20 of 20

Median peer was paid$4.16M

This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JACKSON, JENNIFER controls 20+ 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
2022	209	$513.06
2023	721	$1K
2024incomplete	52	$52.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	100%	982	898	$2K

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 officialJACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)

Parent organizationSTATESVILLE HMA MEDICAL GROUP LLC

Same official

Other billing entities under JACKSON, JENNIFER

Full network →

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.