Physician
Coker and Qualls, PA
Coker and Qualls, PA was paid $6K by Medicaid between Feb 2018 and Mar 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCOKER AND QUALLS, PA
ATHENS, TX 75751
ATHENS, TX 75751
33aNPI1801231717assigned 05/06/2013
33bProvider typeFamily Medicine Physician
28Total paid$6K
24GClaims648
24DCodes billed11
24AFirst – last monthFeb 2018 – Mar 2021
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#834 of 1,204
Median peer was paid$31K
This provider vs. median0.2×
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 | 330 | $204.66 | |
| 2020 | 159 | $2K | |
| 2021 | 159 | $4K |
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 | 75% | 151 | 139 | $5K |
| 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 | 13% | 79 | 74 | $835.11 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 81 | 47 | $635.04 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 17 | 12 | $122.10 |
| 1036F | 0% | 35 | 35 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 121 | 112 | $0.00 |
| 90686 | 0% | 19 | 19 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 106 | 99 | $0.00 |
| 3288F | 0% | 12 | 12 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | 12 | $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 officialCOKER, KARAH (PRESIDENT)