Physician
Charles B Cox MDPC
Charles B Cox MDPC was paid $887K by Medicaid between Sep 2018 and Nov 2024, across 16 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 35% of everything it billed.
33Billing provider infoCHARLES B COX MDPC
ATHENS, TN 37303
ATHENS, TN 37303
33aNPI1366655490assigned 05/07/2007
33bProvider typeSurgery Physician
28Total paid$887K
24GClaims18,761
24DCodes billed16
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Tennessee
Rank by total paid#8 of 87
Median peer was paid$9K
This provider vs. median98×
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 | 148 | $119.35 | |
| 2019 | 139 | $47.71 | |
| 2020 | 431 | $9K | |
| 2021 | 4,655 | $206K | |
| 2022 | 5,837 | $285K | |
| 2023 | 5,210 | $269K | |
| 2024incomplete | 2,341 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 35% | 2,224 | 1,712 | $311K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 27% | 1,806 | 682 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 8,065 | 5,599 | $163K |
| H0049 | Alcohol and/or drug screening | 9.3% | 3,963 | 2,166 | $82K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 484 | 422 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,150 | 946 | $26K |
| 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 | 2.1% | 495 | 392 | $19K |
| 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 | 1.2% | 115 | 107 | $11K |
| H0033 | Oral medication administration, direct observation | <1% | 27 | 25 | $4K |
| 80305 | <1% | 225 | 149 | $2K | |
| 90756 | <1% | 31 | 27 | $632.92 | |
| 99406 | <1% | 65 | 61 | $572.91 |
4 more codes
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 officialCOX, CHARLES (PRINCIPAL)
| Provider | Location | Paid |
|---|---|---|
| Oral and Maxillofacial Surgery Assoc.Pa | Spartanburg, SC | $590K |
| City of Farmers Branch | Farmers Branch, TX | $40K |
| Cox Clinical Social Work Services P.C. | Baldwin, NY | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.