Physician
Cooper, David
Cooper, David was paid $5K by Medicaid between Oct 2020 and Jan 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoCOOPER, DAVID
DOWNINGTOWN, PA 19335
DOWNINGTOWN, PA 19335
33aNPI1588647721assigned 11/22/2005
33bProvider typePediatrics Physician
28Total paid$5K
24GClaims158
24DCodes billed2
24AFirst – last monthOct 2020 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#950 of 1,257
Median peer was paid$45K
This provider vs. median0.1×
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 | 32 | $168.30 | |
| 2021 | 109 | $4K | |
| 2022 | 17 | $1K |
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 | 92% | 77 | 69 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 81 | 79 | $404.90 |
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.