Zachary C Cohen MD Apc

Zachary C Cohen MD Apc was paid $836K by Medicaid between May 2022 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoZACHARY C COHEN MD APC
SAN DIEGO, CA 92123

33aNPI1689334468assigned 12/21/2021

33bProvider typePain Medicine Physician

28Total paid$836K

24GClaims11,966

24DCodes billed27

24AFirst – last monthMay 2022 – Dec 2024

Compared with peers

Next to other Pain Medicine Physician providers in California

Rank by total paid#9 of 35

Median peer was paid$96K

This provider vs. median8.7×

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
2022	142	$6K
2023	2,179	$61K
2024incomplete	9,645	$769K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	5,334	5,100	$464K
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%	2,590	2,475	$158K
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	11%	849	848	$94K
64493		3.7%	211	199	$31K
64635		2.1%	99	89	$18K
64494		1.7%	210	198	$14K
64495		1.6%	183	174	$14K
62323		1.3%	108	108	$11K
64636		<1%	100	87	$8K
20611		<1%	106	83	$7K
99152		<1%	371	361	$5K
76942		<1%	92	87	$4K

15 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	311	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	618	$3K
64490		<1%	15	$911.33
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	174	$541.73
64491		<1%	15	$443.46
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	172	$299.79
J7030	Infusion, normal saline solution , 1000 cc	<1%	53	$232.08
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	58	$4.40
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	13	$3.48
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	33	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	86	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	13	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	13	$0.00
G2197	Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user	0%	106	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	33	$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 officialFAVILA, MARC (OFFICE COORDINATOR/MANAGER)