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    OpenPayerNPI Medicare & MedicaidJackson Hospital Corporation
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    Jackson Hospital Corporation — Billing Profile & Reimbursement Data

    NPI 1346247962 · Jackson, KY · Critical Access Hospital

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    Jackson Hospital Corporation is a critical access hospital provider located in Jackson, Kentucky. This profile covers 0 Medicare and 256 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 Hospital Corporation
    Address540 Jett Dr
    CityJackson
    StateKY
    ZIP41339
    TaxonomyCritical Access Hospital
    NPI EnumeratedJune 29, 2005

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

    Payer SourceTotal Paid
    Medicaid$34.9M
    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.

    256 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.30,840$240$7.3M
    99283The 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.32,830$170$5.7M
    99285The 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.17,450$270$4.8M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1,350$1,700$2.3M
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.9,220$240$2.2M
    0240UN/A8,900$110$934.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.6,560$130$859.2K
    80074The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.16,050$40$690K
    71045In 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…23,440$30$632.8K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6,470$90$588.4K

    Showing 1–10 of 256

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    256 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.442807,150$150$3M
    99285The 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.472404,710$150$2.6M
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…33701,650$100$2M
    99283The 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.372805,700$120$2M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1740740$1,170$1.7M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1061801,870$280$1.5M
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…22502,830$90$1.4M
    G0378Hospital observation service, per hour45902,770$190$1.3M
    G0463Hospital outpatient clinic visit for assessment and management of a patient64807,740$30$1.1M
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.201702,610$250$1M

    Showing 1–10 of 256

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Srinivasa AppakonduKYCardiovascular Disease Physician$556.5K$0
    Nageswara PodapatiKYInterventional Cardiology Physician$216.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Recovery Center, LLCKYAddiction (Substance Use Disorder) Counselor$0$42.4M
    Lifetime Potentials, Inc.KYDevelopmentally Disabled Services Day Training Agency$0$15.2M
    Lincare IncKYDurable Medical Equipment & Medical Supplies$0$5.4M
    Trending UpwardsKYCommunity/Behavioral Health Agency$0$3.6M
    Pablo MercedKYFamily Medicine Physician$0$3.2M
    Breathitt-wolfe Ems IncKYLand Ambulance$710.6K$2M
    Cesar AgtarapKYInternal Medicine Physician$108K$1.1M
    Christopher JacksonKYFamily Nurse Practitioner$211.5K$0
    Melecio AbordoKYInternal Medicine Physician$1.4K$0

    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. Kentucky Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Jackson Hospital Corporation — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky