NP / PA
Cole, Rachel
Cole, Rachel was paid $6K by Medicaid between Dec 2020 and Nov 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoCOLE, RACHEL
PITTSBURGH, PA 15237
PITTSBURGH, PA 15237
33aNPI1184247454assigned 05/21/2020
33bProvider typePediatric Nurse Practitioner
28Total paid$6K
24GClaims481
24DCodes billed7
24AFirst – last monthDec 2020 – Nov 2022
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Pennsylvania
Rank by total paid#33 of 62
Median peer was paid$7K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 72 | $453.40 | |
| 2021 | 396 | $6K | |
| 2022 | 13 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 81% | 161 | 150 | $5K |
| 99072 | 6.7% | 46 | 43 | $430.50 | |
| 96127 | 3.9% | 84 | 66 | $254.26 | |
| 99173 | 2.6% | 50 | 50 | $170.20 | |
| 90686 | 2.6% | 43 | 28 | $165.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 29 | 28 | $146.11 |
| 92551 | 1.3% | 68 | 68 | $86.01 |
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.