Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cole, Emily

Cole, Emily was paid $57K by Medicaid between Jul 2021 and Jun 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoCOLE, EMILY
AURORA, CO 80045
33aNPI1700317534assigned 03/23/2017
33bProvider typeOphthalmology Physician
28Total paid$57K
24GClaims1,788
24DCodes billed6
24AFirst – last monthJul 2021 – Jun 2022
Compared with peers

Next to other Ophthalmology Physician providers in Colorado

Rank by total paid#27 of 56
Median peer was paid$50K
This provider vs. median1.1×

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

$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
20211,033$34K
2022755$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 725 632 $22K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21% 323 285 $12K
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 20% 250 221 $11K
92015 Determination of refractive state 10% 340 294 $6K
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 8.2% 77 69 $5K
92134 1.6% 73 67 $886.02

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.