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    OpenPayerNPI Medicare & MedicaidJackson Clinic PA
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    Jackson Clinic PA — Billing Profile & Reimbursement Data

    NPI 1285629386 · Jackson, TN · Internal Medicine Physician

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    Jackson Clinic PA is a internal medicine physician provider located in Jackson, Tennessee. This profile covers 0 Medicare and 205 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJackson Clinic PA
    Address2863 Highway 45 Byp
    CityJackson
    StateTN
    ZIP38305
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 14, 2005

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

    Payer SourceTotal Paid
    Medicaid$7.9M
    Medicare$0

    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.

    205 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…74,130$30$2.1M
    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…57,160$30$1.5M
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40,170$10$482K
    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…10,640$40$382.9K
    99203The provider sees a new 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 provider…6,700$50$301.4K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.6,660$40$259.9K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…8,980$30$233.4K
    99204The provider sees a new 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 provider…3,110$50$167.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.15,850$10$158.5K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.7,370$20$125.3K

    Showing 1–10 of 205

    • More pages

    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

    205 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1250140$850$541.1K
    01967The provider performs neuraxial  anesthesia services for a patient undergoing a planned vaginal delivery.2750110$350$470.6K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1770160$500$421.5K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…265360350$50$414.4K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…141440530$70$282.3K
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.3860110$130$236.7K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…2140200$20$234.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.120170340$190$206.8K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.1196101,220$40$206K
    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…383,760610$40$202.3K

    Showing 1–10 of 205

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frances LawheadTNDermatopathology Physician$829K$0
    Pamela WellsTNDiagnostic Radiology Physician$827K$0
    William KleinTNDiagnostic Radiology Physician$529.5K$0
    Stephen HammondTNOphthalmology Physician$477.5K$0
    Michael OsayamenTNCardiovascular Disease Physician$424.9K$0
    Elizabeth HallTNMOHS-Micrographic Surgery Physician$410.3K$0
    Christopher CherryTNCardiovascular Disease Physician$404.3K$0
    James CrenshawTNCardiovascular Disease Physician$397.4K$0
    Todd TeagueTNInternal Medicine Physician$327.8K$0
    Victor NwazueTNNephrology Physician$326.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest TnTNIn Home Supportive Care Agency$0$32.3M
    Madison Haywood County Developmental Services, IncTNDevelopmentally Disabled Services Day Training Agency$0$23M
    Loving Arms, LLCTNHome Health Agency$0$13.3M
    Impact Healthcare, PLLCTNAddiction Medicine (Family Medicine) Physician$0$10.1M
    Encare, LLC.TNIn Home Supportive Care Agency$0$9.1M
    George M Short Dds Ms PCTNPediatric Dentistry$0$8.7M
    Family Care Walk In Clinic, Inc.TNFamily Medicine Physician$0$6.2M
    Jackson Radiology Associates PATNDiagnostic Radiology Physician$0$4.4M
    Therapy & Learning Center IncTNRehabilitation Clinic/Center$0$4.2M
    Jackson Ophthalmology Asc LLCTNAmbulatory Surgical Clinic/Center$3.1M$20.7K

    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.

    Medicaid Revenue by Year vs. Tennessee Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Jackson Clinic PA — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee