Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Saint Clair Shores › NPI 1689103798
Physician

Cooper, Crystal

Cooper, Crystal was paid $77K by Medicaid between Nov 2020 and Oct 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoCOOPER, CRYSTAL
SAINT CLAIR SHORES, MI 48080
33aNPI1689103798assigned 06/12/2017
28Total paid$77K
24GClaims1,588
24DCodes billed4
24AFirst – last monthNov 2020 – Oct 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#114 of 248
Median peer was paid$57K
This provider vs. median1.4×

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$10K2018201920202021202220232024
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
2020150$7K
20211,425$70K
202213$905.40
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 40% 629 559 $31K
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 28% 282 242 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 417 351 $13K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15% 260 212 $11K

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.