Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Cooper, Joshua

Cooper, Joshua was paid $40K by Medicaid between Mar 2020 and Nov 2020, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoCOOPER, JOSHUA
LIVINGSTON, TN 38570
33aNPI1477739092assigned 01/14/2008
28Total paid$40K
24GClaims1,204
24DCodes billed12
24AFirst – last monthMar 2020 – Nov 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#245 of 687
Median peer was paid$15K
This provider vs. median2.7×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20201,204$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 462 412 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 341 307 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 5.8% 45 40 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.7% 15 14 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.6% 14 14 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.2% 78 64 $857.91
96127 <1% 87 51 $350.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 30 27 $303.33
90686 <1% 43 36 $232.80
99173 <1% 40 34 $201.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 32 16 $157.02
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 17 17 $50.50

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.