Cooney, Edward

Cooney, Edward was paid $303K by Medicaid between Aug 2019 and Sep 2021, across 23 billing codes. Its largest line is 20610, — 16% of everything it billed.

33Billing provider infoCOONEY, EDWARD
HARTFORD, WI 53027

33aNPI1235271958assigned 02/12/2007

33bProvider typeInternal Medicine Physician

28Total paid$303K

24GClaims13,049

24DCodes billed23

24AFirst – last monthAug 2019 – Sep 2021

Compared with peers

Next to other Internal Medicine Physician providers in Wisconsin

Rank by total paid#18 of 160

Median peer was paid$6K

This provider vs. median51×

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
2019	2,883	$30K
2020	5,179	$137K
2021	4,987	$136K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20610		16%	1,319	554	$49K
77002		13%	1,960	867	$40K
73580		11%	757	428	$34K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	11%	484	223	$34K
76881		10%	691	467	$32K
27369		10%	1,207	519	$31K
J7320	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	7.7%	593	215	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	1,494	761	$12K
97530	Therapeutic activities, direct patient contact, each 15 minutes	3.6%	721	348	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	494	375	$10K
73560		1.9%	408	305	$6K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.6%	308	149	$5K

11 more codes

97161		1.5%	201	$5K
73564		1.2%	199	$4K
J7328	Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	<1%	24	$3K
20611		<1%	66	$2K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	1,482	$700.72
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	78	$649.18
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	61	$615.26
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	363	$566.94
97535	Self-care/home management training, each 15 minutes	<1%	50	$522.20
97116		<1%	31	$112.23
G2064	Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities	<1%	58	$48.79

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.