Physician
Cogent Healthcare of Macon, LLC
Cogent Healthcare of Macon, LLC was paid $1.82M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 62% of everything it billed.
33Billing provider infoCOGENT HEALTHCARE OF MACON, LLC
MACON, GA 31201
MACON, GA 31201
33aNPI1073564217assigned 05/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.82M
24GClaims58,507
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#7 of 162
Median peer was paid$12K
This provider vs. median147×
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 | |
|---|---|---|---|
| 2018 | 11,515 | $309K | |
| 2019 | 7,862 | $196K | |
| 2020 | 9,506 | $294K | |
| 2021 | 13,690 | $435K | |
| 2022 | 8,929 | $331K | |
| 2023 | 4,618 | $179K | |
| 2024incomplete | 2,387 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 62% | 37,161 | 12,303 | $1.13M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 7,341 | 2,892 | $201K |
| 99223 | Prolong inpt eval add15 m | 10% | 2,717 | 2,004 | $184K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 1,269 | 1,202 | $94K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.7% | 348 | 186 | $68K |
| 95117 | 1.9% | 2,046 | 927 | $35K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 1,139 | 973 | $31K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 428 | 298 | $23K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 145 | 138 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 301 | 264 | $11K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 40 | 38 | $8K |
| 95012 | <1% | 245 | 237 | $4K |
11 more codes
| 94010 | <1% | 153 | $4K | |
| 99220 | <1% | 37 | $4K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 15 | $2K |
| 94060 | <1% | 29 | $1K | |
| 95115 | <1% | 55 | $733.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $650.66 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 27 | $587.76 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,734 | $1.16 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 0% | 12 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| 1124F | 0% | 212 | $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.
From NPPES
Who's on the registration
Authorized officialLAND, MELISSA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Going Places Speech Therapy | Columbus, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.