Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › West Springfield › NPI 1174533475
Physician

Cohen, Jaime

Cohen, Jaime was paid $195K by Medicaid between Jan 2018 and Mar 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoCOHEN, JAIME
WEST SPRINGFIELD, MA 01089
33aNPI1174533475assigned 08/09/2006
33bProvider typePediatrics Physician
28Total paid$195K
24GClaims5,543
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#289 of 1,273
Median peer was paid$24K
This provider vs. median8.2×

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$5.0K$10K2018201920202021202220232024
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
2018943$32K
20191,272$47K
20201,116$38K
20211,045$35K
2022888$33K
2023279$11K
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 63% 2,140 2,054 $123K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 626 572 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7.0% 1,306 1,302 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.3% 128 128 $10K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4.0% 860 859 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.4% 57 57 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 36 36 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.4% 116 116 $3K
90461 <1% 39 39 $1K
99051 <1% 70 69 $960.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 18 18 $368.10
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 30 30 $359.50
3 more codes
85018 <1% 79 $181.84
99177 <1% 13 $48.36
99000 <1% 25 $30.00

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.