Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Laguna Hills › NPI 1144231986
Physician

Cohen, Phillip

Cohen, Phillip was paid $875K by Medicaid between Jan 2018 and Feb 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoCOHEN, PHILLIP
LAGUNA HILLS, CA 92653
33aNPI1144231986assigned 08/10/2006
33bProvider typePsychiatry Physician
28Total paid$875K
24GClaims16,972
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other Psychiatry Physician providers in California

Rank by total paid#60 of 483
Median peer was paid$24K
This provider vs. median36×

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$20K$40K$60K2018201920202021202220232024
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
20185,052$257K
20198,500$422K
20203,265$192K
2021155$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91% 16,171 8,765 $800K
90792 Psychiatric diagnostic evaluation with medical services 8.7% 801 536 $76K

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.