JACKSON HOSPITAL AND CLINIC, INC.

NPI: 1730727744 · PRATTVILLE, AL 36066 · Specialist · NPI assigned 12/20/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HERRING, TARA controls 17+ related entities in our dataset. Read more

$2K

Total Medicaid Paid

575

Total Claims

528

Beneficiaries

Codes Billed

2021-08

First Month

2024-10

Last Month

Provider Details

Authorized Official	HERRING, TARA (REVENUE CYCLE DIRECTOR)
NPI Enumeration Date	12/20/2019

Other providers sharing the same authorized official: HERRING, TARA

Provider	City	State	Total Paid
JACKSON HOSPITAL & CLINIC, INC.	MONTGOMERY	AL	$556K
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.	MONTGOMERY	AL	$1K
JACKSON HOSPITAL AND CLINIC, INC	MONTGOMERY	AL	$45.00
JACKSON HOSPITAL & CLINIC, INC.	MONTGOMERY	AL	$0.00
JACKSON HOSPITAL AND CLINIC, INC.	MONTGOMERY	AL	$0.00
JACKSON HOSPITAL AND CLINIC, INC	GREENVILLE	AL	$0.00
JACKSON CLINIC MULTISPECIALTY WETUMPKA	WETUMPKA	AL	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	65	57	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	14	14	$718.34
3008F		194	178	$0.00
3074F		107	98	$0.00
1036F		48	40	$0.00
1160F		78	74	$0.00
3078F		69	67	$0.00