Physician
Paul I Cook MD PA
Paul I Cook MD PA was paid $894K by Medicaid between Apr 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPAUL I COOK MD PA
HOUSTON, TX 77030
HOUSTON, TX 77030
33aNPI1346395910assigned 01/24/2007
33bProvider typeObstetrics Physician
28Total paid$894K
24GClaims36,197
24DCodes billed12
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#6 of 33
Median peer was paid$106K
This provider vs. median8.5×
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 | 15 | $35.28 | |
| 2019 | 18 | $46.72 | |
| 2020 | 1,621 | $37K | |
| 2021 | 8,829 | $223K | |
| 2022 | 10,369 | $279K | |
| 2023 | 9,270 | $232K | |
| 2024incomplete | 6,075 | $123K |
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 | 45% | 12,955 | 7,531 | $402K |
| 76830 | Ultrasound, transvaginal | 18% | 1,863 | 1,366 | $160K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 13% | 1,463 | 1,172 | $117K |
| 59514 | 7.4% | 169 | 145 | $66K | |
| 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 | 5.4% | 1,089 | 968 | $48K |
| 81002 | 3.8% | 13,306 | 8,182 | $34K | |
| 81025 | 3.0% | 4,219 | 3,586 | $27K | |
| 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 | 2.1% | 240 | 230 | $19K |
| 76801 | 1.4% | 170 | 151 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 413 | 339 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 83 | 79 | $4K |
| 88142 | <1% | 227 | 210 | $419.82 |
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 officialCOOK, PAUL (OWNER)