Medicaid Provider Spending

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

JACKSON HOSPITAL AND CLINIC, INC.

NPI: 1952949968 · MONTGOMERY, AL 36106 · Pediatrics Physician · NPI assigned 12/20/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HERRING, TARA controls 17+ related entities in our dataset. Read more

$530K
Total Medicaid Paid
16,005
Total Claims
15,284
Beneficiaries
40
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERRING, TARA (REVENUE CYCLE DIRECTOR)
NPI Enumeration Date12/20/2019

Related Entities

Other providers sharing the same authorized official: HERRING, TARA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,413 $96K
2021 3,601 $129K
2022 3,731 $117K
2023 4,059 $114K
2024 2,201 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,784 3,385 $253K
90460 Immunization administration through 18 years of age via any route, first or only component 1,336 1,308 $67K
90461 619 614 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 566 551 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 300 297 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 249 247 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 161 156 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 185 184 $16K
90734 85 84 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 962 929 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 571 539 $9K
87070 750 729 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 77 76 $5K
90651 24 24 $5K
90686 254 252 $5K
90670 12 12 $3K
85027 567 544 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 52 $2K
90620 16 12 $1K
87807 103 98 $1K
96127 182 182 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 43 $993.51
99177 50 50 $604.79
92551 28 28 $576.81
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 18 $558.36
85007 96 93 $329.94
81003 129 125 $324.70
90688 16 16 $306.72
90656 13 13 $290.55
99051 13 13 $280.09
81002 110 109 $256.26
36415 Collection of venous blood by venipuncture 832 789 $186.00
82465 26 26 $115.44
99173 13 13 $53.00
83655 12 12 $12.35
3078F 907 886 $0.00
1160F 120 111 $0.00
3074F 925 901 $0.00
3008F 1,778 1,743 $0.00
99000 20 20 $0.00