Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Charitable Contribution | $77,909 | 1 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Valeant Pharmaceuticals North America LLC | $77,909 | 1 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2017 | $77,909 | 1 | Valeant Pharmaceuticals North America LLC ($77,909) |
All Payment Transactions
1 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/15/2017 | Valeant Pharmaceuticals North America LLC | BESIVANCE (Drug), ZYLET, LOTEMAX OINTMENT | Charitable Contribution | Cash or cash equivalent | $77,908.62 | General |
| Category: OPHTHALMOLOGY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 834 | 1,466 | $316,850 | $110,366 |
| 2022 | 12 | 805 | 1,507 | $345,460 | $114,526 |
| 2021 | 11 | 905 | 1,506 | $262,390 | $104,402 |
| 2020 | 13 | 982 | 1,738 | $400,640 | $140,582 |
All Medicare Procedures & Services
47 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | Office | 2023 | 199 | 490 | $88,200 | $43,343 | 49.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 71 | 129 | $20,640 | $11,949 | 57.9% |
| 68761 | Closure of tear duct opening using plug | Office | 2023 | 25 | 64 | $19,200 | $9,545 | 49.7% |
| 65855 | Laser repair to improve eye fluid flow | Office | 2023 | 22 | 54 | $43,200 | $9,011 | 20.9% |
| 66984 | Removal of cataract with insertion of prosthetic lens | Facility | 2023 | 18 | 23 | $55,200 | $9,008 | 16.3% |
| 92250 | Photography of the retina | Office | 2023 | 209 | 301 | $30,100 | $7,870 | 26.1% |
| 92083 | Exam of visual field with extended testing | Office | 2023 | 109 | 153 | $16,830 | $6,498 | 38.6% |
| 66821 | Removal of recurring cataract in lens capsule using a laser | Office | 2023 | 15 | 22 | $23,100 | $5,448 | 23.6% |
| 92004 | New patient complete exam of visual system | Office | 2023 | 43 | 43 | $8,170 | $4,543 | 55.6% |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office | 2023 | 104 | 144 | $5,760 | $2,280 | 39.6% |
| 92136 | Measurement of corneal curvature and depth of eye | Office | 2023 | 19 | 43 | $6,450 | $872.90 | 13.5% |
| 92014 | Established patient complete exam of visual system | Office | 2022 | 192 | 505 | $90,900 | $45,193 | 49.7% |
| 66984 | Removal of cataract with insertion of prosthetic lens | Facility | 2022 | 19 | 31 | $74,400 | $12,471 | 16.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 59 | 118 | $18,880 | $11,026 | 58.4% |
| 65855 | Laser repair to improve eye fluid flow | Office | 2022 | 24 | 53 | $42,400 | $9,848 | 23.2% |
| 92250 | Photography of the retina | Office | 2022 | 208 | 312 | $31,200 | $8,047 | 25.8% |
| 66821 | Removal of recurring cataract in lens capsule using a laser | Office | 2022 | 22 | 29 | $30,450 | $7,435 | 24.4% |
| 68761 | Closure of tear duct opening using plug | Office | 2022 | 23 | 54 | $16,200 | $6,650 | 41.0% |
| 92083 | Exam of visual field with extended testing | Office | 2022 | 88 | 144 | $15,840 | $6,109 | 38.6% |
| 92004 | New patient complete exam of visual system | Office | 2022 | 46 | 46 | $8,740 | $3,976 | 45.5% |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office | 2022 | 85 | 139 | $5,560 | $2,236 | 40.2% |
| 92136 | Measurement of corneal curvature and depth of eye | Office | 2022 | 24 | 59 | $8,850 | $1,023 | 11.6% |
| 92012 | Established patient problem focused exam of visual system | Office | 2022 | 15 | 17 | $2,040 | $512.45 | 25.1% |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | Office | 2021 | 196 | 304 | $54,720 | $26,363 | 48.2% |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | Office | 2021 | 109 | 262 | $31,440 | $17,680 | 56.2% |
About Dr. Lee Sa Jackson, M.D
Dr. Lee Sa Jackson, M.D is a Ophthalmology healthcare provider based in Mesa, Arizona. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/02/2005. The National Provider Identifier (NPI) number assigned to this provider is 1306837042.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Lee Sa Jackson, M.D has received a total of $77,909 in payments from pharmaceutical and medical device companies, with $77,909 received in 2017. These payments were reported across 1 transactions from 1 company. The most common payment nature is "Charitable Contribution" ($77,909).
As a Medicare-enrolled provider, Jackson has provided services to 3,526 Medicare beneficiaries, totaling 6,217 services with total Medicare billing of $469,875. Data is available for 4 years (2020–2023), covering 47 distinct procedure/service records.
Practice Information
- Specialty Ophthalmology
- Location Mesa, AZ
- Active Since 11/02/2005
- Last Updated 11/18/2024
- Taxonomy Code 207W00000X
- Entity Type Individual
- NPI Number 1306837042
Products in Payments
- BESIVANCE (Drug) $77,909
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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