Physician
Michael E. Cole MD, PLLC
Michael E. Cole MD, PLLC was paid $221K by Medicaid between Jan 2018 and Oct 2022, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoMICHAEL E. COLE MD, PLLC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1689933483assigned 05/14/2012
33bProvider typeObstetrics & Gynecology Physician
28Total paid$221K
24GClaims8,722
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Tennessee
Rank by total paid#58 of 176
Median peer was paid$39K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2018 | 1,224 | $30K | |
| 2019 | 1,758 | $46K | |
| 2020 | 1,378 | $32K | |
| 2021 | 1,718 | $44K | |
| 2022 | 2,644 | $69K |
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 | 60% | 3,765 | 3,231 | $133K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 12% | 618 | 473 | $27K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.9% | 322 | 250 | $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 | 6.0% | 267 | 229 | $13K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.7% | 106 | 90 | $8K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.9% | 119 | 60 | $6K |
| 0503F | 2.4% | 364 | 269 | $5K | |
| 85018 | 1.3% | 1,597 | 1,467 | $3K | |
| 0500F | 1.0% | 374 | 256 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | 26 | $2K |
| 81025 | <1% | 238 | 210 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 15 | 12 | $941.46 |
12 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $790.58 |
| 90674 | <1% | 41 | $700.72 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $644.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | $375.48 |
| 0502F | <1% | 343 | $370.00 | |
| 82950 | <1% | 95 | $367.58 | |
| 96160 | <1% | 20 | $250.18 | |
| 0501F | <1% | 127 | $90.00 | |
| 80305 | <1% | 14 | $73.96 | |
| 3292F | 0% | 54 | $0.00 | |
| 3754F | 0% | 54 | $0.00 | |
| 3294F | 0% | 52 | $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 officialCROWDER, COOKIE (PRACTICE MANAGER)