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

Cole, Justin

Cole, Justin was paid $184K by Medicaid between Nov 2019 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 63% of everything it billed.

33Billing provider infoCOLE, JUSTIN
PERRYSBURG, OH 43551
33aNPI1790132199assigned 05/16/2016
28Total paid$184K
24GClaims3,066
24DCodes billed4
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Ohio

Rank by total paid#84 of 368
Median peer was paid$13K
This provider vs. median14×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201913$605.00
202074$4K
2021880$44K
2022766$36K
2023714$47K
2024incomplete619$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 63% 1,676 1,634 $117K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 26% 1,013 1,002 $48K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.9% 351 344 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 26 26 $768.04

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.