NP / PA
Cole, Valerie
Cole, Valerie was paid $79K by Medicaid between Mar 2021 and Jan 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCOLE, VALERIE
IRWIN, PA 15642
IRWIN, PA 15642
33aNPI1235511353assigned 06/25/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$79K
24GClaims2,092
24DCodes billed7
24AFirst – last monthMar 2021 – Jan 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#168 of 1,075
Median peer was paid$8K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2021 | 919 | $33K | |
| 2022 | 1,105 | $43K | |
| 2023 | 68 | $3K |
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 | 38% | 611 | 609 | $30K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 36% | 975 | 973 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 364 | 363 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 72 | 72 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 45 | 45 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.2% | 13 | 13 | $922.79 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $162.00 |
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.