Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jackson Hospital And Clinic, Inc. (NPI 1073264107)

Field	Value
Entity Type	Organization
Organization	Jackson Hospital And Clinic, Inc.
Address	1725 Pine St
City	Montgomery
State	AL
ZIP	36106
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 11, 2022

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,620	$30	$482.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	16,260	$20	$390.2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5,390	$40	$210.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	210	$60	$12.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	90	$20	$1.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	10	$0	$0
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	190	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	2,040	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	1,910	$0	$0
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	1,800	$0	$0

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Jackson Hospital And Clinic, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	60	240	4,820	$60	$807.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	45	190	1,480	$100	$730.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	49	230	5,160	$40	$474.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	96	130	420	$40	$106K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	32	60	270	$110	$94.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	156	160	1,080	$1	$46.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	120	170	890	$10	$25.2K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	2	10	500	$1	$10
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	31	240	230	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	5	40	90	$0	$0

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jackson Hospital And Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Hospital & Clinic, Inc.	AL	General Acute Care Hospital	$0	$8.9M
Jackson Surgery Center, LLC	AL	Ambulatory Surgical Clinic/Center	$734.9K	$41K
Praful Patel	AL	Internal Medicine Physician	$334.2K	$0
Xiongying Chen	AL	Internal Medicine Physician	$286.8K	$0
Brian Sellers	AL	Vascular Surgery Physician	$237.1K	$0
Mukeshkumar Patel	AL	General Practice Physician	$225.6K	$290
Taimoor Hashim	AL	Interventional Cardiology Physician	$210.3K	$0
John Jernigan	AL	Internal Medicine Physician	$202.8K	$0
Himanshu Aggarwal	AL	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$183K	$0
Raghu Mukkamala	AL	Internal Medicine Physician	$180.4K	$0

Nearby Providers

Other providers in the same ZIP code as Jackson Hospital And Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Psychologists LLC	AL	Clinical Psychologist	$0	$2.7M
Govil Health LLC	AL	Pediatrics Physician	$0	$2.6M
All About Kids Inc	AL	Pediatrics Physician	$0	$2.4M
Nes Tennessee Inc	AL	Emergency Medicine Physician	$0	$1.8M
Gift Of Life Foundation	AL	Contractor	$0	$1.3M
Bush Pediatric Dentistry	AL	Pediatric Dentistry	$0	$1.2M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$1.2M
Integrated Care-alabama LLC	AL	Emergency Medicine Physician	$0	$1.1M
Montgomery Eye Surgery Center LLC	AL	Ambulatory Surgical Clinic/Center	$1M	$400
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	Hematology & Oncology Physician	$0	$1M

Jackson Hospital And Clinic, Inc. — Billing Profile & Reimbursement Data

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Jackson Hospital And Clinic, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References