Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cole Surgical Arts

Cole Surgical Arts was paid $28K by Medicaid between Sep 2019 and Sep 2024, across 9 billing codes. Its largest line is 99205, Prolong outpt/office vis — 34% of everything it billed.

33Billing provider infoCOLE SURGICAL ARTS
FORT PAYNE, AL 35968
33aNPI1316421944assigned 09/19/2018
33bProvider typeSurgery Physician
28Total paid$28K
24GClaims531
24DCodes billed9
24AFirst – last monthSep 2019 – Sep 2024
Compared with peers

Next to other Surgery Physician providers in Alabama

Rank by total paid#9 of 51
Median peer was paid$4K
This provider vs. median6.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
201952$1K
2020145$2K
2021179$12K
202247$3K
202393$8K
2024incomplete15$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 34% 92 85 $9K
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 15% 80 68 $4K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 81 62 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 32 30 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 8.5% 13 12 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 66 43 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.2% 15 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.1% 122 69 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.3% 30 27 $914.55

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 officialHOLCOMB, RENEA (OFFICE MANAGER)