Physician
Jackson Hospital and Clinic, INC.
Jackson Hospital and Clinic, INC. was paid $530K by Medicaid between Feb 2020 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoJACKSON HOSPITAL AND CLINIC, INC.
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
33aNPI1952949968assigned 12/20/2019
33bProvider typePediatrics Physician
28Total paid$530K
24GClaims16,005
24DCodes billed40
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#107 of 199
Median peer was paid$702K
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HERRING, TARA controls 17+ related entities in our dataset. Read more
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 | 2,413 | $96K | |
| 2021 | 3,601 | $129K | |
| 2022 | 3,731 | $117K | |
| 2023 | 4,059 | $114K | |
| 2024incomplete | 2,201 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 3,784 | 3,385 | $253K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,336 | 1,308 | $67K |
| 90461 | 5.6% | 619 | 614 | $30K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 566 | 551 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 300 | 297 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 249 | 247 | $24K |
| 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 | 3.1% | 161 | 156 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 185 | 184 | $16K |
| 90734 | 2.2% | 85 | 84 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 962 | 929 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 571 | 539 | $9K |
| 87070 | 1.2% | 750 | 729 | $7K |
28 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 77 | $5K |
| 90651 | 1.0% | 24 | $5K | |
| 90686 | <1% | 254 | $5K | |
| 90670 | <1% | 12 | $3K | |
| 85027 | <1% | 567 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $2K |
| 90620 | <1% | 16 | $1K | |
| 87807 | <1% | 103 | $1K | |
| 96127 | <1% | 182 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $993.51 |
| 99177 | <1% | 50 | $604.79 | |
| 92551 | <1% | 28 | $576.81 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | $558.36 |
| 85007 | <1% | 96 | $329.94 | |
| 81003 | <1% | 129 | $324.70 | |
| 90688 | <1% | 16 | $306.72 | |
| 90656 | <1% | 13 | $290.55 | |
| 99051 | <1% | 13 | $280.09 | |
| 81002 | <1% | 110 | $256.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 832 | $186.00 |
| 82465 | <1% | 26 | $115.44 | |
| 99173 | <1% | 13 | $53.00 | |
| 83655 | <1% | 12 | $12.35 | |
| 3078F | 0% | 907 | $0.00 | |
| 1160F | 0% | 120 | $0.00 | |
| 3074F | 0% | 925 | $0.00 | |
| 3008F | 0% | 1,778 | $0.00 | |
| 99000 | 0% | 20 | $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 officialHERRING, TARA (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $556K |
| Jackson Hospital and Clinic INC | Montgomery, AL | $494K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $30K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $22K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $14K |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $13K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $9K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $8K |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $6K |
| Jackson Hospital and Clinic INC | Montgomery, AL | $5K |
| Jackson Hospital and Clinic, INC. | Prattville, AL | $2K |
| Jackson Hospital and Clinic INC. | Montgomery, AL | $1K |
| Jackson Hospital and Clinic, INC | Montgomery, AL | $45.00 |
| Jackson Hospital and Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital & Clinic, INC. | Montgomery, AL | $0.00 |
| Jackson Hospital and Clinic, INC | Greenville, AL | $0.00 |
| Jackson Clinic Multispecialty Wetumpka | Wetumpka, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.