Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jose Cohen MD PA

Jose Cohen MD PA was paid $247K by Medicaid between Jan 2018 and Jun 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoJOSE COHEN MD PA
HARLINGEN, TX 78550
33aNPI1497848691assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$247K
24GClaims15,692
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Specialist providers in Texas

Rank by total paid#99 of 382
Median peer was paid$29K
This provider vs. median8.5×

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$10K$15K2018201920202021202220232024
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
2018802$6K
2019904$7K
20201,909$26K
20215,939$94K
20224,403$81K
20231,735$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 2,536 2,243 $71K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14% 552 550 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13% 430 404 $33K
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 12% 789 701 $30K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.8% 316 260 $19K
81002 6.1% 6,618 5,395 $15K
76830 Ultrasound, transvaginal 4.1% 119 112 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 231 206 $10K
81025 4.0% 1,618 1,479 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.8% 642 566 $7K
99385 <1% 29 28 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 15 13 $1K
8 more codes
87210 <1% 301 $1K
57454 <1% 12 $866.10
85018 <1% 455 $740.28
85014 <1% 455 $740.28
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $739.26
82950 <1% 42 $205.63
88142 0% 14 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 506 $0.00

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.

From NPPES

Who's on the registration

Authorized officialCOHEN, JOSE (PRESIDENT)