Jackson, Karen

Jackson, Karen was paid $83K by Medicaid between Sep 2021 and Nov 2024, across 8 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 68% of everything it billed.

33Billing provider infoJACKSON, KAREN
CHICAGO, IL 60612

33aNPI1871989483assigned 04/09/2015

33bProvider typePulmonary Disease Physician

28Total paid$83K

24GClaims2,063

24DCodes billed8

24AFirst – last monthSep 2021 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Illinois

Rank by total paid#90 of 212

Median peer was paid$51K

This provider vs. median1.6×

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
2021	360	$25K
2022	731	$32K
2023	487	$11K
2024incomplete	485	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	68%	474	218	$56K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	20%	384	202	$16K
94726		3.4%	367	359	$3K
94375		3.3%	333	325	$3K
94729		3.1%	420	411	$3K
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	1.9%	22	14	$2K
94060		<1%	51	51	$465.38
94070		<1%	12	12	$123.86

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.