Clinic
Jackson County Hospital District
Jackson County Hospital District was paid $4.38M by Medicaid between Nov 2019 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoJACKSON COUNTY HOSPITAL DISTRICT
EDNA, TX 77957
EDNA, TX 77957
33aNPI1992748693assigned 06/13/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.38M
24GClaims29,340
24DCodes billed29
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#17 of 225
Median peer was paid$428K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2019 | 26 | $5K | |
| 2020 | 1,801 | $215K | |
| 2021 | 7,686 | $919K | |
| 2022 | 7,832 | $1.20M | |
| 2023 | 8,141 | $1.38M | |
| 2024incomplete | 3,854 | $664K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 19,999 | 17,419 | $3.92M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 848 | 830 | $157K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 670 | 651 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 296 | 285 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 348 | 332 | $52K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,434 | 1,057 | $41K |
| 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% | 524 | 470 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 228 | 196 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,688 | 1,648 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 65 | 41 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 61 | 61 | $972.26 |
| 90670 | <1% | 572 | 562 | $574.22 |
17 more codes
| 90474 | <1% | 123 | $570.21 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $421.87 |
| 90651 | <1% | 43 | $389.92 | |
| 90686 | <1% | 216 | $202.37 | |
| 90648 | <1% | 430 | $194.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,152 | $190.95 |
| 90633 | <1% | 76 | $188.31 | |
| 90723 | <1% | 184 | $188.31 | |
| 90680 | <1% | 156 | $188.31 | |
| 90685 | 0% | 56 | $0.00 | |
| 90734 | 0% | 58 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 21 | $0.00 |
| 90677 | 0% | 25 | $0.00 | |
| 90696 | 0% | 12 | $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 officialSMIGA, LANCE (ADMINISTRATOR/CFO)