Cole, Colleen

Cole, Colleen was paid $32K by Medicaid between Jan 2018 and Aug 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoCOLE, COLLEEN
LIMA, OH 45805

33aNPI1447234190assigned 12/05/2005

33bProvider typeFamily Medicine Physician

28Total paid$32K

24GClaims2,583

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#358 of 739

Median peer was paid$30K

This provider vs. median1.1×

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	2,583	$32K

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	53%	514	391	$17K
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	32%	250	189	$10K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.2%	144	109	$2K
1160F		4.8%	770	540	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	14	14	$694.96
99406		2.0%	119	86	$656.85
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	33	25	$47.12
1159F		<1%	15	14	$40.00
1111F		<1%	16	15	$40.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	15	14	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	529	377	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	164	110	$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.