Supplier
Jason H Clark & Sandra J Clark
Jason H Clark & Sandra J Clark was paid $37K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 94% of everything it billed.
33Billing provider infoJASON H CLARK & SANDRA J CLARK
WATER VALLEY, MS 38965
WATER VALLEY, MS 38965
33aNPI1912185927assigned 02/01/2008
33bProvider typePortable X-ray and/or Other Portable Diagnostic Imaging Supplier
28Total paid$37K
24GClaims4,158
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
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 | 850 | $6K | |
| 2019 | 1,208 | $12K | |
| 2020 | 1,098 | $10K | |
| 2021 | 427 | $4K | |
| 2022 | 382 | $2K | |
| 2024incomplete | 193 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 71045 | Radiologic examination, chest; single view | 94% | 896 | 782 | $35K |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 4.5% | 1,114 | 975 | $2K |
| Q0092 | Set-up portable x-ray equipment | 1.2% | 1,910 | 1,440 | $450.84 |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | 0% | 238 | 229 | $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 officialCLARK, JASON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Chipps, Caffrey & Dubilier, P.S.C | Lexington, KY | $3.90M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.