Cooper, Michael

Cooper, Michael was paid $17K by Medicaid between Jun 2019 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoCOOPER, MICHAEL
STATEN ISLAND, NY 10305

33aNPI1053396655assigned 12/07/2005

33bProvider typePlastic Surgery Physician

28Total paid$17K

24GClaims1,625

24DCodes billed8

24AFirst – last monthJun 2019 – Nov 2024

Compared with peers

Next to other Plastic Surgery Physician providers in New York

Rank by total paid#10 of 34

Median peer was paid$4K

This provider vs. median4.4×

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

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

Year	Claims	Paid
2019	245	$1K
2020	417	$4K
2021	333	$4K
2022	239	$2K
2023	218	$2K
2024incomplete	173	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	703	576	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	27%	442	398	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	7.4%	192	92	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.7%	101	30	$945.30
16025		3.9%	92	73	$643.67
97597		1.2%	56	46	$191.62
99221		<1%	12	12	$151.43
16020		<1%	27	14	$106.84

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.