Physician
T C Cole JR MD PA
T C Cole JR MD PA was paid $108K by Medicaid between Jan 2018 and Apr 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoT C COLE JR MD PA
HUNTSVILLE, TX 77340
HUNTSVILLE, TX 77340
33aNPI1790922870assigned 01/12/2009
33bProvider typeGeneral Practice Physician
28Total paid$108K
24GClaims10,248
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#34 of 113
Median peer was paid$22K
This provider vs. median4.9×
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 | 798 | $7K | |
| 2019 | 899 | $7K | |
| 2020 | 965 | $7K | |
| 2021 | 1,653 | $33K | |
| 2022 | 1,557 | $12K | |
| 2023 | 3,175 | $36K | |
| 2024incomplete | 1,201 | $7K |
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 | 62% | 4,541 | 3,425 | $66K |
| 99091 | 33% | 421 | 377 | $36K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.1% | 686 | 538 | $4K |
| 81002 | <1% | 1,839 | 1,492 | $818.14 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | 24 | $463.99 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 87 | 51 | $65.69 |
| 3079F | 0% | 205 | 173 | $0.00 | |
| 1125F | 0% | 445 | 382 | $0.00 | |
| 82962 | 0% | 302 | 227 | $0.00 | |
| 1170F | 0% | 355 | 283 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 56 | 41 | $0.00 |
| 3074F | 0% | 87 | 72 | $0.00 |
4 more codes
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 officialCOLE, THOMAS (PHYSICIAN)