Cobble, Douglas

Cobble, Douglas was paid $60K by Medicaid between Dec 2018 and Nov 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoCOBBLE, DOUGLAS
GREENEVILLE, TN 37745

33aNPI1457348674assigned 10/03/2005

33bProvider typePediatrics Physician

28Total paid$60K

24GClaims2,712

24DCodes billed13

24AFirst – last monthDec 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#205 of 333

Median peer was paid$139K

This provider vs. median0.4×

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	39	$1K
2019	1,894	$40K
2020	779	$18K

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	67%	986	814	$40K
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	6.7%	71	64	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.5%	59	54	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	5.9%	416	345	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.3%	34	34	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.0%	158	133	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.9%	153	133	$2K
81003		1.2%	333	290	$701.82
36416		1.1%	445	372	$663.78
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	14	14	$367.27
80061	Lipid panel	<1%	14	12	$114.16
99177		<1%	14	13	$96.13

1 more codes

90686

<1%

$93.54

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.