Physician
Cohen, Kelly
Cohen, Kelly was paid $110K by Medicaid between Jan 2021 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoCOHEN, KELLY
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1629509112assigned 03/25/2017
33bProvider typePediatrics Physician
28Total paid$110K
24GClaims2,205
24DCodes billed15
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#148 of 265
Median peer was paid$133K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 190 | $11K | |
| 2022 | 920 | $39K | |
| 2023 | 874 | $47K | |
| 2024incomplete | 221 | $14K |
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 | 53% | 746 | 696 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 135 | 131 | $15K |
| 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% | 135 | 125 | $14K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.7% | 799 | 430 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 69 | 54 | $6K |
| 90461 | 1.7% | 70 | 66 | $2K | |
| 99401 | 1.6% | 70 | 68 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 12 | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 62 | 44 | $636.91 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 14 | $494.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 31 | 31 | $420.64 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22 | 20 | $204.25 |
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.