Physician
Cook, JR., Vernon
Cook, JR., Vernon was paid $123K by Medicaid between Jun 2018 and Jan 2020, across 9 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 25% of everything it billed.
33Billing provider infoCOOK, JR., VERNON
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1487672663assigned 07/17/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$123K
24GClaims1,757
24DCodes billed9
24AFirst – last monthJun 2018 – Jan 2020
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Kentucky
Rank by total paid#3 of 6
Median peer was paid$30K
This provider vs. median4.1×
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 | 323 | $25K | |
| 2019 | 1,410 | $96K | |
| 2020 | 24 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 25% | 194 | 194 | $31K |
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 409 | 260 | $23K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 19% | 264 | 264 | $23K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 332 | 296 | $20K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 12% | 249 | 234 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.0% | 121 | 30 | $4K |
| 59025 | Fetal non-stress test | 2.6% | 133 | 39 | $3K |
| 76820 | 1.5% | 34 | 14 | $2K | |
| 76821 | 1.1% | 21 | 12 | $1K |
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.