Physician
Coggi, James
Coggi, James was paid $265K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCOGGI, JAMES
WEST DES MOINES, IA 50265
WEST DES MOINES, IA 50265
33aNPI1487641551assigned 10/04/2005
33bProvider typePediatrics Physician
28Total paid$265K
24GClaims12,513
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Iowa
Rank by total paid#8 of 42
Median peer was paid$47K
This provider vs. median5.7×
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
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 | 1,543 | $26K | |
| 2019 | 1,830 | $34K | |
| 2020 | 1,564 | $33K | |
| 2021 | 2,128 | $47K | |
| 2022 | 2,034 | $44K | |
| 2023 | 1,874 | $44K | |
| 2024incomplete | 1,540 | $37K |
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 | 44% | 3,252 | 2,448 | $118K |
| 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 | 27% | 1,581 | 1,201 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14% | 2,790 | 2,270 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 351 | 317 | $9K |
| 85027 | 3.2% | 1,374 | 1,152 | $9K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2.3% | 344 | 268 | $6K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,884 | 1,565 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 34 | 28 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 463 | 369 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 145 | 135 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $1K |
| 90686 | <1% | 106 | 85 | $885.73 |
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.