NP / PA
Cook, Laci
Cook, Laci was paid $1K by Medicaid between Nov 2021 and Mar 2022, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.
33Billing provider infoCOOK, LACI
HOLBROOK, NY 11741
HOLBROOK, NY 11741
33aNPI1073906749assigned 03/05/2015
33bProvider typePediatric Nurse Practitioner
28Total paid$1K
24GClaims30
24DCodes billed1
24AFirst – last monthNov 2021 – Mar 2022
Compared with peers
Next to other Pediatric Nurse Practitioner providers in New York
Rank by total paid#64 of 91
Median peer was paid$2K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 13 | $312.77 | |
| 2022 | 17 | $696.03 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 100% | 30 | 30 | $1K |
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.