Cox, Andrew

Cox, Andrew was paid $15K by Medicaid between Dec 2018 and Oct 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoCOX, ANDREW
SOMERVILLE, MA 02144

33aNPI1275929986assigned 04/09/2015

33bProvider typePediatrics Physician

28Total paid$15K

24GClaims205

24DCodes billed2

24AFirst – last monthDec 2018 – Oct 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#721 of 1,273

Median peer was paid$24K

This provider vs. median0.6×

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
2018	17	$2K
2019	129	$8K
2020	47	$3K
2022	12	$1K

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	98%	193	180	$15K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.4%	12	12	$370.56

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.