W. Donald Cooke
W. Donald Cooke was paid $15K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is 95115, — 54% of everything it billed.
33Billing provider infoW. DONALD COOKE
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1770603342assigned 03/29/2007
33bProvider typeSpecialist
28Total paid$15K
24GClaims1,183
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Specialist providers in Colorado
Rank by total paid#77 of 124
Median peer was paid$37K
This provider vs. median0.4×
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
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 | 226 | $6K | |
| 2019 | 307 | $5K | |
| 2020 | 87 | $514.24 | |
| 2021 | 363 | $2K | |
| 2022 | 90 | $697.02 | |
| 2023 | 88 | $732.48 | |
| 2024incomplete | 22 | $172.48 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95115 | 54% | 1,090 | 531 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 42 | 40 | $4K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 14% | 34 | 33 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 17 | 14 | $798.33 |
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 officialCOOKE, W (OWNER)