Cooper, Roy

Cooper, Roy was paid $4K by Medicaid between Oct 2021 and Aug 2023, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 78% of everything it billed.

33Billing provider infoCOOPER, ROY
ERIE, PA 16507

33aNPI1801288170assigned 02/24/2015

33bProvider typeUrology Physician

28Total paid$4K

24GClaims84

24DCodes billed3

24AFirst – last monthOct 2021 – Aug 2023

Compared with peers

Next to other Urology Physician providers in Pennsylvania

Rank by total paid#59 of 134

Median peer was paid$3K

This provider vs. median1.3×

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
2021	33	$1K
2022	37	$2K
2023	14	$386.66

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	78%	38	38	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	27	26	$739.77
51798		4.0%	19	19	$164.84

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.