Condra, Cole

Condra, Cole was paid $15K by Medicaid between May 2018 and Jan 2019, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 57% of everything it billed.

33Billing provider infoCONDRA, COLE
LOUISVILLE, KY 40202

33aNPI1467436469assigned 12/02/2005

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$15K

24GClaims248

24DCodes billed2

24AFirst – last monthMay 2018 – Jan 2019

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Kentucky

Rank by total paid#5 of 6

Median peer was paid$16K

This provider vs. median0.9×

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	235	$15K
2019	13	$646.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	57%	175	174	$9K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	43%	73	72	$7K

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.