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    Paul Jackson — Billing Profile & Reimbursement Data

    NPI 1093738536 · Murfreesboro, TN · Cardiovascular Disease Physician

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    Paul Jackson is a cardiovascular disease physician provider located in Murfreesboro, Tennessee. This profile covers 19 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Jackson
    Address1602 W Northfield Blvd
    CityMurfreesboro
    StateTN
    ZIP37129
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$226.9K
    Medicaid$4.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,140$40$48.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…130$250$33.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…470$60$27.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…270$90$23.8K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose220$90$19.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…280$70$19.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…180$110$19.7K
    J2785Injection, regadenoson, 0.1 mg320$40$13K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$7.2K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…110$50$5.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,99711,370120$80$16.6K
    93306295590180$60$15.8K
    A95021770130$90$14K
    992333902,63090$90$13.1K
    9949013400130$40$11.7K
    J27852890160$40$11.3K
    784528438070$120$11.2K
    992231,1673,13040$120$8K
    9921364311,03080$50$8K
    992042,9005,49030$100$5.3K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…140$10$1.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…110$20$1.7K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…220$10$1.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.40$10$250
    3074FNo Summary found for this code40$0$0
    3077FNo Summary found for this code90$0$0
    3078FNo Summary found for this code90$0$0
    3079FNo Summary found for this code80$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,7273,760610$40$202.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,0424,050620$30$183.9K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.344410400$1$22.1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…173370180$10$12.8K
    3078FNo Summary found for this code450610340$1$1.2K
    3074FNo Summary found for this code507610350$1$1.1K
    3079FNo Summary found for this code297440190$1$750
    3077FNo Summary found for this code199320170$1$510

    Nearby Providers

    Other providers in the same ZIP code as Paul Jackson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volunteer Behavioral Health Care SystemTNCounselor$0$168M
    Twelvestone Medical, Inc.TNHome Infusion Therapy Pharmacy$0$52.7M
    Crossroads Urgent Care PLLCTNFamily Medicine Physician$0$21.6M
    Murfreesboro Medical Clinic, P.A.TNSpecialist$0$19.7M
    Jones Therapy Services LLCTNPediatric Rehabilitation Medicine Physician$0$19.3M
    Saint Thomas Rutherford HospitalTNGeneral Acute Care Hospital$0$16.2M
    Charis Hearts Inc.TNHome Health Agency$0$8.2M
    Gateway Healthcare, PCTNUrgent Care Clinic/Center$0$3.9M
    Duratech Medical, Inc.TNProsthetic/Orthotic Supplier$0$3.3M
    Trustpoint Hospital LLCTNPsychiatry Physician$0$3.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Paul Jackson — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Paul Jackson — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee