Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Michael D. Cohen, M.D., INC

Michael D. Cohen, M.D., INC was paid $344K by Medicaid between Feb 2019 and Nov 2024, across 6 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 73% of everything it billed.

33Billing provider infoMICHAEL D. COHEN, M.D., INC
VALENCIA, CA 91355
33aNPI1275708729assigned 04/25/2008
33bProvider typeSpecialist
28Total paid$344K
24GClaims6,159
24DCodes billed6
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#334 of 1,230
Median peer was paid$51K
This provider vs. median6.7×

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$10K$20K2018201920202021202220232024
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
2019257$17K
2020713$60K
20211,439$98K
20221,058$79K
2023942$43K
2024incomplete1,750$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 73% 2,734 895 $250K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 2,049 458 $45K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.4% 925 302 $29K
99223 Prolong inpt eval add15 m 5.8% 411 394 $20K
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% 26 25 $111.57
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 14 14 $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 officialCOHEN, MICHAEL (MD)
Same official

Other billing entities under COHEN, MICHAEL

Full network →
ProviderLocationPaid
Michael S Cohen MD PCSyosset, NY$113K
State University of IowaIowa City, IA$28K
Michael I Cohen D.C., P.A.Ft Lauderdale, FL$11K

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