Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerrence Jackson
    Ask Trek AI about this page

    Terrence Jackson — Billing Profile & Reimbursement Data

    NPI 1760484372 · Germantown, TN · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Terrence Jackson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Terrence Jackson is a gastroenterology physician provider located in Germantown, Tennessee. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTerrence Jackson
    Address8000 Wolf River Blvd Ste 200
    CityGermantown
    StateTN
    ZIP38138
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 12, 2005

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg44,700$20$759.9K
    J1745Injection, infliximab, excludes biosimilar, 10 mg10,740$20$257.8K
    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…410$90$34.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…140$190$26.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…240$90$21.7K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…190$90$17.2K
    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…310$50$16.9K
    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.170$80$12.9K
    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…80$110$9K
    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.60$160$8.9K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J338022012,300$20$295.9K
    J17452403,270$30$116.4K
    453856932060$260$27.1K
    9641389240150$90$18.9K
    992141,79511,370120$80$16.6K
    453802032040$190$15.3K
    G01056220040$250$13.1K
    74177434580110$90$12.7K
    99490297400130$40$11.7K
    992322,7663,990100$60$11.4K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gary WrubleTNGastroenterology Physician$695.5K$0
    Mary GuptaTNAnatomic Pathology & Clinical Pathology Physician$682K$0
    Michael HubaTNAnatomic Pathology & Clinical Pathology Physician$584.8K$0
    Har RaiTNAnatomic Pathology & Clinical Pathology Physician$423.7K$49.1K
    Bryan ThompsonTNGastroenterology Physician$422.1K$0
    Thomas TowneTNGastroenterology Physician$397.9K$0
    Lydia MakapugayTNAnatomic Pathology & Clinical Pathology Physician$329K$16.2K
    Scott DuncanTNGastroenterology Physician$332.8K$0
    Carlos Gomez-meadeOKMOHS-Micrographic Surgery Physician$309.2K$0
    Kenneth WeissTNSports Medicine (Orthopaedic Surgery) Physician$275.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.TNDurable Medical Equipment & Medical Supplies$0$44.3M
    Campbell Clinic, PCTNOrthopaedic Surgery Physician$0$28M
    The West Clinic P.C.TNSpecialist$0$16M
    Poplar Avenue Clinic PLLCTNGynecologic Oncology Physician$0$9.7M
    Diagnostic Ultrasound ConsultantsTNDiagnostic Radiology Physician$0$8.5M
    Mid-south Imaging & Therapeutics, P.A.TNDiagnostic Radiology Physician$0$8.2M
    David PortnoyTNHematology & Oncology Physician$6.5M$0
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Stern Cardiovascular Foundation, IncTNCardiovascular Disease Physician$0$4.7M
    G I Diagnostic And Therapeutic Center LLCTNEndoscopy Clinic/Center$4.2M$8.6K

    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
    Terrence Jackson — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee