Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cox, Alan

Cox, Alan was paid $26K by Medicaid between Jan 2018 and Nov 2020, across 9 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 51% of everything it billed.

33Billing provider infoCOX, ALAN
JOHNSON CITY, TN 37604
33aNPI1003057068assigned 03/20/2009
28Total paid$26K
24GClaims10,304
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#247 of 581
Median peer was paid$15K
This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,042$12K
20194,104$10K
20202,158$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 51% 2,640 1,964 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 37% 1,223 822 $10K
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth 7.6% 788 361 $2K
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 3.7% 524 307 $984.41
99318 <1% 39 39 $247.09
G9744 Patient not eligible due to active diagnosis of hypertension 0% 2,474 1,645 $0.00
99307 0% 22 17 $0.00
1123F 0% 2,573 1,705 $0.00
99305 0% 21 19 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.