Physician
Jack County Hospital District
Jack County Hospital District was paid $578K by Medicaid between Nov 2020 and Oct 2024, across 20 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 82% of everything it billed.
33Billing provider infoJACK COUNTY HOSPITAL DISTRICT
JACKSBORO, TX 76458
JACKSBORO, TX 76458
33aNPI1790777696assigned 08/17/2005
33bProvider typeFamily Medicine Physician
28Total paid$578K
24GClaims8,820
24DCodes billed20
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#158 of 1,204
Median peer was paid$31K
This provider vs. median19×
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.
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 | |
|---|---|---|---|
| 2020 | 13 | $5K | |
| 2021 | 1,879 | $263K | |
| 2022 | 2,119 | $178K | |
| 2023 | 2,418 | $95K | |
| 2024incomplete | 2,391 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 82% | 889 | 823 | $472K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.5% | 164 | 147 | $43K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.6% | 117 | 111 | $32K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 1,647 | 1,452 | $8K |
| 80053 | Comprehensive metabolic panel | 1.1% | 1,249 | 1,101 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 622 | 603 | $6K |
| 87631 | <1% | 37 | 37 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,552 | 2,115 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | 12 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 278 | 275 | $777.63 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 158 | 152 | $450.81 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 153 | 141 | $443.47 |
8 more codes
| 82607 | <1% | 188 | $383.89 | |
| 81015 | <1% | 263 | $338.83 | |
| 80061 | Lipid panel | <1% | 201 | $300.46 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $286.19 |
| 81001 | <1% | 204 | $79.58 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 13 | $54.73 |
| 84439 | <1% | 13 | $19.56 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 48 | $0.00 |
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 officialLEE, KIM (COO)
| Provider | Location | Paid |
|---|---|---|
| Jack County Hospital District | Jacksboro, TX | $1.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.