Physician
Cook, Richard
Cook, Richard was paid $31K by Medicaid between Dec 2020 and Aug 2024, across 10 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 23% of everything it billed.
33Billing provider infoCOOK, RICHARD
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
33aNPI1578505459assigned 06/12/2006
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$31K
24GClaims704
24DCodes billed10
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Pennsylvania
Rank by total paid#19 of 39
Median peer was paid$30K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 12 | $308.00 | |
| 2021 | 603 | $22K | |
| 2024incomplete | 89 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 23% | 257 | 255 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 130 | 130 | $6K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 44 | 44 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 135 | 133 | $5K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 45 | 45 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.6% | 30 | 30 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.8% | 21 | 21 | $1K |
| 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 | 3.7% | 18 | 18 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $148.50 |
| 81003 | <1% | 12 | 12 | $30.60 |
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.