Agency
Jackson Madison County Regional Health Department
Jackson Madison County Regional Health Department was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 46% of everything it billed.
33Billing provider infoJACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1871676593assigned 10/24/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$1.20M
24GClaims65,161
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Tennessee
Rank by total paid#7 of 109
Median peer was paid$121K
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.
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 | 16,302 | $211K | |
| 2019 | 17,938 | $279K | |
| 2020 | 8,653 | $184K | |
| 2021 | 4,232 | $123K | |
| 2022 | 6,129 | $138K | |
| 2023 | 7,242 | $161K | |
| 2024incomplete | 4,665 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 46% | 11,991 | 10,609 | $553K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 14% | 2,257 | 2,007 | $164K |
| 99402 | 11% | 2,765 | 2,491 | $137K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.4% | 3,406 | 2,967 | $52K |
| D1206 | Topical application of fluoride varnish | 4.3% | 2,851 | 2,689 | $52K |
| D0190 | 2.5% | 2,865 | 2,705 | $30K | |
| 99401 | 2.3% | 1,057 | 908 | $28K | |
| 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 | 2.0% | 438 | 361 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 608 | 519 | $23K |
| 90651 | 1.4% | 2,371 | 2,040 | $17K | |
| 81025 | 1.3% | 3,152 | 2,711 | $16K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 232 | 177 | $15K |
43 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 522 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 136 | $7K |
| 90716 | <1% | 1,473 | $7K | |
| 92551 | <1% | 827 | $6K | |
| 90734 | <1% | 1,181 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,429 | $5K |
| 90715 | <1% | 1,589 | $5K | |
| 99442 | <1% | 176 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | $4K |
| 90619 | <1% | 777 | $3K | |
| 83655 | <1% | 266 | $3K | |
| 99384 | <1% | 28 | $3K | |
| 99173 | <1% | 384 | $2K | |
| 90707 | <1% | 1,383 | $2K | |
| 96127 | <1% | 536 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 90686 | <1% | 2,552 | $2K | |
| 90670 | <1% | 3,119 | $1K | |
| 90480 | <1% | 48 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 93 | $795.56 |
| 90682 | <1% | 13 | $746.68 | |
| 36416 | <1% | 402 | $720.26 | |
| 87210 | <1% | 206 | $698.99 | |
| 90710 | <1% | 815 | $588.84 | |
| 90633 | <1% | 2,904 | $489.42 | |
| 85018 | <1% | 208 | $423.23 | |
| 81002 | <1% | 151 | $378.77 | |
| 90698 | <1% | 2,682 | $357.31 | |
| 90677 | <1% | 236 | $321.61 | |
| 90620 | <1% | 35 | $247.42 | |
| 90696 | <1% | 1,100 | $200.62 | |
| 90621 | <1% | 52 | $188.00 | |
| 99177 | <1% | 24 | $146.22 | |
| 99174 | <1% | 29 | $140.55 | |
| 90461 | <1% | 2,039 | $125.05 | |
| 90744 | <1% | 1,102 | $31.75 | |
| 90656 | <1% | 19 | $23.53 | |
| 90671 | 0% | 173 | $0.00 | |
| 91322 | 0% | 16 | $0.00 | |
| 90697 | 0% | 364 | $0.00 | |
| 90674 | 0% | 66 | $0.00 | |
| 90680 | 0% | 883 | $0.00 | |
| 90688 | 0% | 29 | $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 officialEMISON, TONY (DIRECTOR)