Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON HOSPITAL AND CLINIC INC

NPI: 1912362773 · MONTGOMERY, AL 36106 · Cardiovascular Disease Physician · NPI assigned 12/22/2015

$40K
Total Medicaid Paid
3,116
Total Claims
2,861
Beneficiaries
15
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPENNEY, KELIN (ADMINISTRATOR)
NPI Enumeration Date12/22/2015

Related Entities

Other providers sharing the same authorized official: PENNEY, KELIN

ProviderCityStateTotal Paid
JACKSON HOSPITAL AND CLINIC INC. MONTGOMERY AL $69K
JACKSON HOSPITAL AND CLINIC INC MONTGOMERY AL $14K
JACKSON HOSPITAL AND CLINIC INC MONTGOMERY AL $658.70
JACKSON HOSPITAL AND CLINIC INC TALLASSEE AL $152.44

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119 $3K
2019 185 $5K
2020 249 $5K
2021 197 $5K
2022 804 $7K
2023 1,168 $9K
2024 394 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 847 801 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 254 242 $9K
99233 Prolong inpt eval add15 m 56 25 $2K
99232 Subsequent hospital care, per day, moderate complexity 63 26 $1K
99223 Prolong inpt eval add15 m 13 12 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 211 204 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 39 37 $659.10
99215 Prolong outpt/office vis 13 12 $625.21
1036F 392 364 $0.00
3008F 590 546 $0.00
3074F 129 123 $0.00
3079F 15 12 $0.00
1126F 14 13 $0.00
3078F 53 50 $0.00
1160F 427 394 $0.00