Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Cole Physician Services LLC

Cole Physician Services LLC was paid $131K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoCOLE PHYSICIAN SERVICES LLC
JEFFERSON CITY, MO 65101
33aNPI1144578659assigned 08/15/2012
33bProvider typePhysician Assistant
28Total paid$131K
24GClaims2,549
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Physician Assistant providers in Missouri

Rank by total paid#13 of 136
Median peer was paid$12K
This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FALK, LISHA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
201837$1K
201985$4K
2020144$6K
2021421$18K
2022461$21K
20231,080$72K
2024incomplete321$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 42% 1,173 509 $55K
99223 Prolong inpt eval add15 m 31% 324 296 $41K
99239 Hospital discharge day management, more than 30 minutes 14% 408 363 $19K
99220 7.8% 175 153 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.2% 151 75 $6K
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 205 164 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 42 38 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 71 65 $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 officialFALK, LISHA (VP OF CONTRACTING)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.